Active NPI
Lydia Stevens, MA, MFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1689074494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 93416
- Practice address
- 1829 Market St Ste 207
San Francisco, CA 94103-7414 - Phone
- (415) 991-0575
- NPI assigned
- Aug 28, 2014
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 75619 | CA | |
| Marriage & Family Therapist | 106H00000X | 93416 | CA | Primary |
Addresses
Primary practice location
1829 Market St Ste 207
San Francisco, CA 94103-7414
Mailing address
1801 Turk St Apt 7
San Francisco, CA 94115-4430
Phone (415) 852-2052
Other practice location 1
40 Boardman Pl
San Francisco, CA 94103-4729
Phone (415) 852-2052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1689074494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1801 TURK ST APT 7",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941154430",
"telephone_number": "415-852-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 MARKET ST STE 207",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941037414",
"telephone_number": "415-991-0575"
}
],
"practiceLocations": [
{
"address_1": "40 Boardman Pl",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941034729",
"country_code": "US",
"telephone_number": "415-852-2052",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "STEVENS",
"first_name": "LYDIA",
"credential": "MA, MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-08-28",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "75619",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "93416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.