Andrea Alphonso-Gibbs, AMFT
Individual provider Active NPI Marriage & Family Therapist · Novato, CA
NPI 1689302192 · NPPES record last updated Oct 2, 2024
Key facts
- NPI
- 1689302192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 131852 (CA)
- Practice address
- 680 Wilson Ave
Novato, CA 94947-3825 - Phone
- (415) 892-1643
- NPI assigned
- Aug 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 131852 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Marin Community Services | Mental Health | Current |
Accepting new patients |
Locations
680 Wilson Ave
Novato, CA 94947
Phone (415) 892-1643
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 131852 | CA | Yes |
Addresses
Primary practice location
680 Wilson Ave
Novato, CA 94947-3825
Mailing address
PO Box 6068
San Rafael, CA 94903-0068
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrea.alphonso-gibbs@alumni.dominican.edu |
Other providers in Novato, CA
- Andrea Alfaro-Palacios
- Kendi Nicole Aliff
- Loretta Marie Alimam
- Kenneth Allen
- Amy Allerheiligen
- Zeynep Yaren Altan
- Taryn Alexis Altman
- Gail Altschuler
- Patricia Alushin
- Lauren R Alves
All providers in Novato, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.