Individual provider Active NPI

Laura Mohaupt, LMFT

  • Marriage & Family Therapist
  • Larkspur, CA
National Provider Identifier
1861875213
Registry record updated Aug 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
82934 Issued in CA
Practice address
119 Ward St
Larkspur, CA 94939-1326
Phone
(415) 506-8565
NPI assigned
Jul 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2019

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 82934 CA Primary

Addresses

Primary practice location

119 Ward St
Larkspur, CA 94939-1326

Mailing address

119 Ward St
Larkspur, CA 94939-1326
Phone (415) 506-8565

Other practice location 1

2155 Union St
San Francisco, CA 94123-4056
Phone (415) 506-8565

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 11, 2024 through Feb 11, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
82934CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1435795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565049600000",
    "number": "1861875213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WARD ST",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391326",
            "telephone_number": "415-506-8565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WARD ST",
            "city": "LARKSPUR",
            "state": "CA",
            "postal_code": "949391326",
            "telephone_number": "415-506-8565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2155 Union St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941234056",
            "country_code": "US",
            "telephone_number": "415-506-8565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOHAUPT",
        "first_name": "LAURA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-02",
        "last_updated": "2019-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Larkspur, CA

Sources for this page

Verify at the official NPI Registry.