Active NPI
Destinie Lee Hoffmann, LMFT/APCC
- Marriage & Family Therapist
- San Rafael, CA
National Provider Identifier
1841856051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 135148
- Practice address
- 1601 2ND St
San Rafael, CA 94901-2712 - Phone
- (415) 456-6655
- NPI assigned
- May 13, 2019
- Last updated
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 135148 | CA | Primary |
Addresses
Primary practice location
1601 2ND St
San Rafael, CA 94901-2712
Mailing address
PO Box 2228
Apple Valley, CA 92307-0042
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NONE | Medicaid | CA |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center Point, Inc. | Past | Accepting new patients | |
| Valley Star Behavioral Health, Inc. | Past | Accepting new patients | |
| Valley Star Behavioral Health, Inc. | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community Health Clinic/Center
- San Rafael, CA
- NPI 1346460607
-
- Community/Behavioral Health Agency
- Downey, CA
- NPI 1396491973
-
- Licensed Psychiatric Technician
- Colton, CA
- NPI 1558849141
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735776000000",
"number": "1841856051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2228",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923070042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 2ND ST",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949012712",
"telephone_number": "415-456-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMANN",
"first_name": "DESTINIE",
"middle_name": "LEE",
"name_prefix": "Miss",
"credential": "LMFT/APCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2025-01-02",
"certification_date": "2025-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "135148",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NONE",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.