Individual provider Active NPI

Margaret Ellen Clarstrom, MFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1992909089
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC42423 Issued in CA
Practice address
935 3Rd St
Eureka, CA 95501-0513
Phone
(707) 444-8895
Fax
(707) 444-0220
NPI assigned
Jun 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 MFC42423 CA Primary

Addresses

Primary practice location

935 3Rd St
Eureka, CA 95501-0513

Mailing address

1670 Wild Canary St
McKinleyville, CA 95519-4076
Phone (707) 840-0931

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
MFC42423CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
The Redwood Family Institute Past 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": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992909089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 WILD CANARY ST",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955194076",
            "telephone_number": "707-840-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 3RD ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955010513",
            "telephone_number": "707-444-8895",
            "fax_number": "707-444-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARSTROM",
        "first_name": "MARGARET",
        "middle_name": "ELLEN",
        "credential": "MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC42423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.