Individual provider Active NPI

Susan Denny, LMFT

  • Marriage & Family Therapist
  • Richmond, CA
National Provider Identifier
1568582229
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
39304 Issued in CA
Practice address
207 37TH Street
Richmond, CA 94805
Phone
(415) 871-9535
NPI assigned
Mar 29, 2007
Last updated
Jul 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 39304 CA Primary

Addresses

Primary practice location

207 37TH Street
Richmond, CA 94805

Mailing address

207 37TH Street
Richmond, CA 94805
Phone (415) 871-9535

Other identifiers 1

IdentifierTypeStateIssuer
39304OtherCALICENSE

Other names 1

  • Sue Krumboltz Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

7901 Stoneridge Dr
Suite 150
Pleasanton, CA 94588-3500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
39304CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1568582229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 37TH STREET",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "94805",
            "telephone_number": "415-871-9535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 37TH STREET",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "94805",
            "telephone_number": "415-871-9535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNY",
        "first_name": "SUSAN",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39304",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "39304",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "KRUMBOLTZ",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Richmond, CA

Sources for this page

Verify at the official NPI Registry.