Individual provider Active NPI

Leni H. Siegel, LICENSED MARRIAGE

  • Marriage & Family Therapist
  • Berkeley, CA
National Provider Identifier
1740390996
Registry record updated Dec 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC35288 Issued in CA
Practice address
1715 Solano Ave
Suite B
Berkeley, CA 94707-2220
Phone
(510) 665-6516
Fax
(510) 527-1485
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC35288 CA Primary

Addresses

Primary practice location

1715 Solano Ave
Suite B
Berkeley, CA 94707-2220

Mailing address

1225 Marin Ave Rear
Albany, CA 94706-2520
Phone (510) 665-6516

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

State licenses

LicenseStateTypeSpecialty
MFC35288CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482883200000",
    "number": "1740390996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 MARIN AVE REAR",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062520",
            "telephone_number": "510-665-6516",
            "fax_number": "510-527-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 SOLANO AVE",
            "address_2": "SUITE B",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947072220",
            "telephone_number": "510-665-6516",
            "fax_number": "510-527-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEGEL",
        "first_name": "LENI",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "LICENSED MARRIAGE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC35288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2016; 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.