Individual provider Active NPI

Judith Weston-Thompson, MFT

  • Marriage & Family Therapist
  • San Rafael, CA
National Provider Identifier
1982743795
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT23268 Issued in CA
Practice address
700 E St Ste 205
San Rafael, CA 94901-2782
Phone
(415) 457-3800
Fax
(415) 479-6545
NPI assigned
Feb 6, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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 LMFT23268 CA Primary

Addresses

Primary practice location

700 E St Ste 205
San Rafael, CA 94901-2782

Mailing address

68 Margarita Ter
Novato, CA 94947-4732
Phone (415) 699-4058

Other names 1

  • Judy Weston-Thompson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240316000073 CA Practitioner - Marriage and Family Therapist 8426494196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

700 E St
Suite 205
San Rafael, CA 94901-2782
Phone (415) 699-4058

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT23268CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Judith Weston-Thompson Licensed Marriage and Family Therapist PC Marriage & Family Therapist CurrentSince Jan 1, 2024 Accepting new patients

Locations

700 E St
Ste 205
San Rafael, CA 94901
Phone (415) 457-3800

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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1982743795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 MARGARITA TER",
            "city": "NOVATO",
            "state": "CA",
            "postal_code": "949474732",
            "telephone_number": "415-699-4058",
            "fax_number": "866-849-0672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E ST STE 205",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012782",
            "telephone_number": "415-457-3800",
            "fax_number": "415-479-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON-THOMPSON",
        "first_name": "JUDITH",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT23268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDY",
            "last_name": "WESTON-THOMPSON",
            "credential": "LMFT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Rafael, CA

Sources for this page

Verify at the official NPI Registry.