Rachel Longan, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

86243 Issued in CA

Practice address

1919 Addison St Ste 301
Berkeley, CA 94704-1143

Phone

(415) 462-4467

NPI assigned

Jun 14, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

Opted out of Medicare

Yes, effective Jun 10, 2024 through Jun 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1659633667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 ADDISON ST STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041143",
            "telephone_number": "415-462-4467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 ADDISON ST STE 301",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947041143",
            "telephone_number": "415-462-4467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5435 College Ave",
            "address_purpose": "LOCATION",
            "city": "Oakland",
            "state": "CA",
            "postal_code": "946181598",
            "country_code": "US",
            "telephone_number": "415-462-4467",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LONGAN",
        "first_name": "RACHEL",
        "name_prefix": "Ms.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-14",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "86243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Panaligan Lojo, RN
• Patricia R. Lollis, L.AC.
• Susan Londerville, M.D.
• Adam A London
• Brett Michael London, D.O.
• Longs Drug Stores California Inc
• Longs Drug Stores California LLC
• Aidan Longstreth
• Lourdes Lopez de Gomez, MFT-I
• Verenice Ivette Lopez-Meza

• Marriage & Family Therapist in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.