Active NPI
Ashli Bastiao, MA, LMFT
- Marriage & Family Therapist
- San Francisco, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 97042
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 97042 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Good Place Therapy by Kerrie Mohr, LCSW, PC | Current | 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.
-
- Clinical Social Worker
- San Francisco, CA
- NPI 1982297008
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.