Individual provider Active NPI

Lois Friedlander, MA, MFT, CGP

  • Marriage & Family Therapist
  • Mill Valley, CA
National Provider Identifier
1619216595
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
27235 Issued in CA
Practice address
311 Miller Ave
Suite 'D'
Mill Valley, CA 94941-2844
Phone
(415) 383-3337
Fax
(415) 381-4555
NPI assigned
Feb 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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 27235 CA Primary

Addresses

Primary practice location

311 Miller Ave
Suite 'D'
Mill Valley, CA 94941-2844

Mailing address

311 Miller Ave
Suite 'D'
Mill Valley, CA 94941-2844
Phone (415) 383-3337

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
27235CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360627200000",
    "number": "1619216595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 MILLER AVE",
            "address_2": "SUITE 'D'",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412844",
            "telephone_number": "415-383-3337",
            "fax_number": "415-381-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 MILLER AVE",
            "address_2": "SUITE 'D'",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412844",
            "telephone_number": "415-383-3337",
            "fax_number": "415-381-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDLANDER",
        "first_name": "LOIS",
        "credential": "MA, MFT, CGP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "27235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.