Individual provider Active NPI

Nicole Hinton-Born, MFT

  • Mental Health Counselor
  • San Francisco, CA
National Provider Identifier
1881843415
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC 46217 Issued in CA
Practice address
2166 Hayes St
Suite 208
San Francisco, CA 94117-1033
Phone
(415) 407-5964
Fax
(415) 407-5964
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC 46217 CA Primary

Addresses

Primary practice location

2166 Hayes St
Suite 208
San Francisco, CA 94117-1033

Mailing address

160 Shrader St
San Francisco, CA 94117-1017
Phone (415) 407-5964

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

State licenses

LicenseStateTypeSpecialty
MFC 46217CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1881843415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 SHRADER ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171017",
            "telephone_number": "415-407-5964",
            "fax_number": "415-422-0882"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2166 HAYES ST",
            "address_2": "SUITE 208",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941171033",
            "telephone_number": "415-407-5964",
            "fax_number": "415-407-5964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTON-BORN",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 46217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; 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.