Individual provider Active NPI

Janine Heisler, MFT

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1801159678
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
43859 Issued in CA
Practice address
1670 S Amphlett Blvd
Ste #115
San Mateo, CA 94402-2510
Phone
(650) 286-3912
NPI assigned
Jun 18, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

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 43859 CA Primary

Addresses

Primary practice location

1670 S Amphlett Blvd
Ste #115
San Mateo, CA 94402-2510

Mailing address

1670 S Amphlett Blvd
Ste #115
San Mateo, CA 94402-2510
Phone (650) 286-3912

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250325001490 CA Practitioner - Marriage and Family Therapist 8123541778 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Masonic Homes of CaliforniaGroup PAC ID 4183625361, 7 clinicians

Practice addresses (Care Compare)

34400 Mission Blvd
Union City, CA 94587-3604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Masonic Homes of California CurrentSince Jan 13, 2025 Accepting new patients
Masonic Homes of California CurrentSince Jan 13, 2025 Accepting new patients

Locations

1111 California St
San Francisco, CA 94108

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339977600000",
    "number": "1801159678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD",
            "address_2": "STE #115",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022510",
            "telephone_number": "650-286-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S AMPHLETT BLVD",
            "address_2": "STE #115",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022510",
            "telephone_number": "650-286-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISLER",
        "first_name": "JANINE",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-18",
        "last_updated": "2012-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "43859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.