Ianina Antonio, LMFT 104522

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

104522 Issued in CA

Practice address

1309 Evans Ave
San Francisco, CA 94124-1705

Phone

(415) 206-7600

NPI assigned

Feb 28, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1362009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622160000000",
    "number": "1699015602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1309 EVANS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241705",
            "telephone_number": "415-206-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1309 EVANS AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941241705",
            "telephone_number": "415-206-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "720 Sacramento St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941082535",
            "country_code": "US",
            "telephone_number": "415-392-4453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANTONIO",
        "first_name": "IANINA",
        "credential": "LMFT 104522",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-28",
        "last_updated": "2021-05-28",
        "certification_date": "2021-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "104522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Elaine Antone
• Desiree Nadine Antonelli
• Antonia Bercovici, PH.D. Inc.
• Michael J. Antonini, D.D.S.
• Christian Karl Antonio
• Diana M. Antoniucci, MD
• Amber Christina Antonopoulos
• Blessy Antony
• Jacqueline Selim Antoun, MD
• Melissa Antoun, LMFT

• Marriage & Family Therapist in San Francisco, CA
• Providers in San Francisco, 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 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.