Active NPI
Colleen Renee Linnertz, LMFT
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1659763720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC45926
- Practice address
- 106 Thorn St
Suite A1
San Diego, CA 92103-5629 - Phone
- (619) 772-6712
- NPI assigned
- Feb 26, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC45926 | CA | Primary |
Addresses
Primary practice location
106 Thorn St
Suite A1
San Diego, CA 92103-5629
Mailing address
106 Thorn St
Suite A1
San Diego, CA 92103-5629
Phone (619) 772-6712
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC45926 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1659763720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 THORN ST",
"address_2": "SUITE A1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035629",
"telephone_number": "619-772-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 THORN ST",
"address_2": "SUITE A1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035629",
"telephone_number": "619-772-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LINNERTZ",
"first_name": "COLLEEN",
"middle_name": "RENEE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-26",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC45926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.