Organization Active NPI

Laurel Therapy Collective, Inc, a Licensed Marriage and Family Therapy

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1669132973
Registry record updated Dec 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
LAUREL THERAPY COLLECTIVE, INC, A LICENSED MARRIAGE AND FAMILY THERAPY
Practice address
1756 Fillmore St
San Francisco, CA 94115
Phone
(415) 504-2895
NPI assigned
Dec 28, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2021

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

Authorized official

Name
Laurel Rose Roberts-Meese, LMFT
Title
Owner
Phone
(415) 504-2895

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

1756 Fillmore St
San Francisco, CA 94115

Mailing address

2355 Westwood Blvd # 549
Los Angeles, CA 90064-2109
Phone (415) 504-2895

Other names 1

  • Laurel Therapy Collective Doing business as

National Provider Directory

National Provider Directory

Locations

1756 Fillmore St
San Francisco, CA 94115
Phone (415) 497-4931

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640649600000",
    "number": "1669132973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2355 WESTWOOD BLVD # 549",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642109",
            "telephone_number": "415-504-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1756 FILLMORE ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94115",
            "telephone_number": "415-504-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREL THERAPY COLLECTIVE, INC, A LICENSED MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS-MEESE",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "ROSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-504-2895",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Laurel Therapy Collective",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.