Active NPI
Karina Suzanne Von Middendorf, LMFT
- Marriage & Family Therapist
- San Francisco, CA
National Provider Identifier
1982679718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 38189
- Practice address
- 1 Market St FL 36
San Francisco, CA 94105-1420 - Phone
- (415) 408-8801
- Fax
- (866) 849-0672
- NPI assigned
- Feb 23, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 | 38189 | CA | Primary |
Addresses
Primary practice location
1 Market St FL 36
San Francisco, CA 94105-1420
Mailing address
1083 Vine St Ste 740
Healdsburg, CA 95448-4830
Phone (415) 408-8801
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
| License | State | Type | Specialty |
|---|---|---|---|
| 38189 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734307200000",
"number": "1982679718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1083 VINE ST STE 740",
"city": "HEALDSBURG",
"state": "CA",
"postal_code": "954484830",
"telephone_number": "415-408-8801",
"fax_number": "866-849-0672"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MARKET ST FL 36",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941051420",
"telephone_number": "415-408-8801",
"fax_number": "866-849-0672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON MIDDENDORF",
"first_name": "KARINA",
"middle_name": "SUZANNE",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-23",
"last_updated": "2024-12-16",
"certification_date": "2024-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "38189",
"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 Dec 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.