Individual provider Active NPI

Vanessa Vertin, PH.D., LMFT, M.A.

  • Marriage & Family Therapist
  • Mill Valley, CA
National Provider Identifier
1881355493
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC36163 Issued in CA
Practice address
125 Throckmorton Ave
Mill Valley, CA 94941-1909
Phone
(415) 807-9063
NPI assigned
Jan 5, 2022
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 MFC36163 CA Primary

Addresses

Primary practice location

125 Throckmorton Ave
Mill Valley, CA 94941-1909

Mailing address

801 Smith Rd
Mill Valley, CA 94941-3923
Phone (415) 383-5201

Other practice location 1

2919 Sacramento St
San Francisco, CA 94115-2116
Phone (415) 807-9063

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
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
MFC36163CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1641340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1881355493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 SMITH RD",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949413923",
            "telephone_number": "415-383-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 THROCKMORTON AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411909",
            "telephone_number": "415-807-9063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 Sacramento St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941152116",
            "country_code": "US",
            "telephone_number": "415-807-9063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERTIN",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "PH.D., LMFT, M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC36163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2022; 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.