Individual provider Active NPI

Kathy J. Langsam, MFT

  • Marriage & Family Therapist
  • Novato, CA
National Provider Identifier
1962522011
Registry record updated Sep 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 34794 Issued in CA
Practice address
680 Wilson Ave
Novato, CA 94947-3825
Phone
(415) 892-1643
Fax
(415) 892-5098
NPI assigned
Mar 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2009

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 MFC 34794 CA Primary

Addresses

Primary practice location

680 Wilson Ave
Novato, CA 94947-3825

Mailing address

680 Wilson Ave
Novato, CA 94947-3825
Phone (415) 892-1643

Other identifiers 1

IdentifierTypeStateIssuer
941735064OtherCACOMMUNITY BEHAVIORAL HEALTH

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 34794CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
North Marin Community Services PastSince Oct 19, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251936000000",
    "number": "1962522011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473825",
            "telephone_number": "415-892-1643",
            "fax_number": "415-892-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 WILSON AVE",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949473825",
            "telephone_number": "415-892-1643",
            "fax_number": "415-892-5098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGSAM",
        "first_name": "KATHY",
        "middle_name": "J.",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-30",
        "last_updated": "2009-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 34794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY BEHAVIORAL HEALTH",
            "identifier": "941735064",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novato, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2009; 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.