Heidi Friederike Longo, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

44500 Issued in CA

Practice address

705 Vendola Dr
San Rafael, CA 94903-2938

Phone

(415) 606-9543

NPI assigned

Nov 19, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731974400000",
    "number": "1871318360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 D ST STE 201",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 VENDOLA DR",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949032938",
            "telephone_number": "415-606-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONGO",
        "first_name": "HEIDI",
        "middle_name": "FRIEDERIKE",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "44500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meenal Sunit Lohtia, M.D.
• Ngoc Loi, LCSW
• Nayeem N Lokhandwala, MFT
• Alice Lurline Long, PHYSICAL THERAPIST
• Caitlin Longini
• Longs Drug Stores California LLC
• Jeannette Longtin, LMFT
• Teresa Lonsbury, D.C.
• Stephen W. Loo, DO
• Melanie Lopes, MFT

• Marriage & Family Therapist in San Rafael, CA
• Providers in San Rafael, 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 Nov 19, 2024; 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.