Ivy Tiegel, LMFT, MA, MFA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

114700 Issued in CA

Practice address

1254 Mission St Ste 224
San Francisco, CA 94103-2706

Phone

(415) 787-5489

NPI assigned

Feb 16, 2020

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

Other names 1

• Lissaivy Tiegel Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts, Master of Fine Arts

State licenses

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

{
    "created_epoch": "1581811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581811200000",
    "number": "1710510920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 MISSION ST STE 224",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032706",
            "telephone_number": "415-787-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 MISSION ST STE 224",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032706",
            "telephone_number": "415-787-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIEGEL",
        "first_name": "IVY",
        "credential": "LMFT, MA, MFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-16",
        "last_updated": "2020-02-16",
        "certification_date": "2020-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "114700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISSAIVY",
            "last_name": "TIEGEL",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Tides Center
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• Irene Elena Tiedeman, RN
• Kay Amanda Tiemann
• Cheryl Tien
• Emily Taylor Tien, LMFT
• Justin Tien, MD
• Nenh Tien, RN

• 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 Feb 16, 2020; 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.