Stacey Kolsrud

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

86928 Issued in CA

Legal business name

STACEY KOLSRUD

Practice address

870 Market St
Suite 1186
San Francisco, CA 94102-3099

Phone

(415) 255-2591

NPI assigned

Jun 4, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stacey Kolsrud, MA, MFTNPI 1356724785

Title

MFT

Phone

(415) 265-1985

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stacey Kolsrud

  • Marriage & Family Therapist
  • San Francisco, CA
  • NPI 1356724785
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433376000000",
    "number": "1538549415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1939 HAYES ST",
            "address_2": "APT 6",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171157",
            "telephone_number": "415-265-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 MARKET ST",
            "address_2": "SUITE 1186",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941023099",
            "telephone_number": "415-255-2591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STACEY KOLSRUD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-04",
        "last_updated": "2015-06-04",
        "status": "A",
        "authorized_official_last_name": "KOLSRUD",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MFT",
        "authorized_official_telephone_number": "415-265-1985",
        "authorized_official_credential": "MA, MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "86928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• St. Vincent de Paul Society
• St. Vincent de Paul Society
• Marie St.Pierre, M.S.W.
• Mia Stableford, CMT
• Stacey a Lee, a Dental Corporation
• Monika Stache, MS, CCC-SLP
• Colin Stack-Troost, MA, MFT
• Courtney Stack
• Nathan Stack
• Tara Stacker, ND, AGPCNP-BC

• Community/Behavioral Health Agency in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.