Individual provider Active NPI

Linda Fries, MFT

  • Marriage & Family Therapist
  • Pleasanton, CA
National Provider Identifier
1588041172
Registry record updated May 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT30558 Issued in CA
Practice address
5700 Stoneridge Mall Rd Ste 315
Pleasanton, CA 94588-2850
Phone
(925) 461-6411
Fax
(925) 227-1145
NPI assigned
May 3, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2015

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 LMFT30558 CA Primary

Addresses

Primary practice location

5700 Stoneridge Mall Rd Ste 315
Pleasanton, CA 94588-2850

Mailing address

5700 Stoneridge Mall Rd Ste 15
Pleasanton, CA 94588-2822
Phone (925) 461-6411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LMFT30558CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1430611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430611200000",
    "number": "1588041172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD STE 15",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882822",
            "telephone_number": "925-461-6411",
            "fax_number": "925-227-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 STONERIDGE MALL RD STE 315",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945882850",
            "telephone_number": "925-461-6411",
            "fax_number": "925-227-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIES",
        "first_name": "LINDA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-03",
        "last_updated": "2015-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT30558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.