Individual provider Active NPI

Michael Eugene Sanders I, LMFT

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1649692229
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFT28704 Issued in CA
Practice address
160 Capp
San Francisco, CA 94110-1210
Phone
(415) 621-8054
Fax
(415) 621-6209
NPI assigned
Jan 15, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFT28704 CA Primary

Addresses

Primary practice location

160 Capp
San Francisco, CA 94110-1210

Mailing address

160 Capp St
San Francisco, CA 94110-1210
Phone (415) 621-8054

Other identifiers 1

IdentifierTypeStateIssuer
FHC11429FMedicaidCA

Other names 1

  • Mr. Mike Eugene Sanders I Other 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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT28704CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients
Native American Health Center, Inc Current Accepting new patients
Native American Health Center, Inc CurrentSince Jan 1, 2024 Accepting new patients

Locations

2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948

3124 International Blvd
#2D
Oakland, CA 94601

160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1389744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1649692229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 CAPP ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101210",
            "telephone_number": "415-621-8054",
            "fax_number": "415-621-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CAPP",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941101210",
            "telephone_number": "415-621-8054",
            "fax_number": "415-621-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERS",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_suffix": "I",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-01-15",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFT28704",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "FHC11429F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "SANDERS",
            "middle_name": "EUGENE",
            "prefix": "MR.",
            "suffix": "I",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.