Individual provider Active NPI

Ashli Bastiao, MA, LMFT

  • Marriage & Family Therapist
  • San Francisco, CA
National Provider Identifier
1972021632
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
97042 Issued in CA
Practice address
2485 Clay St Ste 104
San Francisco, CA 94115-1874
Phone
(415) 329-2882
NPI assigned
Sep 1, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 97042 CA Primary

Addresses

Primary practice location

2485 Clay St Ste 104
San Francisco, CA 94115-1874

Mailing address

2485 Clay St Ste 104
San Francisco, CA 94115-1874
Phone (209) 678-1534

Other practice location 1

582 Market St Ste 1110
San Francisco, CA 94104-5312
Phone (415) 202-6960

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ashli@agoodplacetherapy.com Direct

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

State licenses

LicenseStateTypeSpecialty
97042CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
A Good Place Therapy by Kerrie Mohr, LCSW, PC CurrentSince Aug 1, 2021 Accepting new patients

Locations

2485 Clay St
Ste 104
San Francisco, CA 94115
Phone (212) 227-4343

582 Market St
Ste 1110
San Francisco, CA 94104
Phone (415) 202-6960

225 Broadway
Ste 2070
New York, NY 10007
Phone (212) 227-4343

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": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1972021632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2485 CLAY ST STE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151874",
            "telephone_number": "209-678-1534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 CLAY ST STE 104",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151874",
            "telephone_number": "415-329-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "582 Market St Ste 1110",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941045312",
            "country_code": "US",
            "telephone_number": "415-202-6960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASTIAO",
        "first_name": "ASHLI",
        "credential": "MA, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "97042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ashli@agoodplacetherapy.com",
            "affiliation": "N",
            "endpointDescription": "professional email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2485 Clay St Ste 104",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941151874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Aug 19, 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.