STACI LAFORTUNE (NPI# 1053890343) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053890343 |
| Entity Type | Individual |
| Full Name | STACI LAFORTUNE |
| Practice Address |
3626 Balboa St San Francisco CA 94121-2604 |
| Practice Telephone | 4156685955 |
| Mailing Telephone | 4156685955 |
| Enumeration Date | 2018-08-08 |
| Last Update Date | 2018-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | 97339 | CA | Behavioral Health & Social Service Providers |
| Street Address |
3626 BALBOA ST |
| City | SAN FRANCISCO |
| State | CA |
| Zip Code | 94121-2604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063591972 | Kavoos Ghanebassiri | Marriage & Family Therapist | 3626 Balboa St, San Francisco, CA 94121-2604 | 2006-11-02 |
| 1336751072 | Rory Pettigrew | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-08-22 |
| 1811509631 | Lauren Glasgow | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-08-21 |
| 1083246375 | Elena Ionov | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2020-02-05 |
| 1740827880 | Christina Haejin Yum | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-12-09 |
| 1801443486 | Mayra Hernandez | Counselor | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-20 |
| 1548817182 | Harmony Martinez | Counselor | 3626 Balboa St, San Francisco, CA 94121 | 2019-08-19 |
| 1972159747 | Rachael Mary Perlman | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-16 |
| 1639725740 | Ridhi Shiv | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-14 |
| 1356997944 | Peter Barrett Reynolds | Student in an Organized Health Care Education/Training Program | 3626 Balboa St, San Francisco, CA 94121-2604 | 2019-08-10 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316443815 | Joanne Mott | Community Health Worker | Richmond Area Multi Services, 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1851897359 | Jeffrey Cheng | Community Health Worker | Richmond Area Multi Services 3626 Balboa St., San Francisco, CA 94121 | 2018-04-03 |
| 1245739283 | George Howard Herzog | Clinical Nurse Specialist | 4150 Clement St G1-111b1, San Francisco, CA 94121 | 2018-02-05 |
| 1063931228 | Dianna Welsh | Marriage & Family Therapist | 750 33rd Ave., San Francisco, CA 94121 | 2017-09-19 |
| 1144616590 | Lindsey Merrihew Haddock | Internal Medicine | 4150 Clement St Bldg 1306b, San Francisco, CA 94121 | 2015-04-13 |
| 1184027229 | Laura Weissberger | Social Worker | 6211 Geary Blvd, 2nd Floor, San Francisco, CA 94121 | 2014-10-03 |
| 1548676901 | Martha J Ignaszewski | Psychiatry & Neurology | 4150 Clement St Rm 19, San Francisco, CA 94121 | 2014-07-07 |
| 1912338195 | Katie Francesconi Peters | Physical Therapist | 1921 Lake St Apt 1, San Francisco, CA 94121 | 2013-12-12 |
| 1649601717 | William Hua | Psychologist | 4150 Clement St (116b), San Francisco, CA 94121 | 2013-11-27 |
| 1396182721 | Gregory Lariviere Judson | Student in an Organized Health Care Education/Training Program | 4150 Clement St. Box 111a, Vamc, San Francisco, CA 94121 | 2013-05-24 |
| Find all providers in zip 94121 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819329 | Justin Leigh Schreiner | Marriage & Family Therapist | 2140 Pierce St, San Francisco, CA 94115-2214 | 2020-10-19 |
| 1295333904 | Kelly Kiyomi Pong-der | Marriage & Family Therapist | 679 18th Ave Apt A, San Francisco, CA 94121-3822 | 2020-10-14 |
| 1639777543 | Graham Gallivan | Marriage & Family Therapist | 1200 Gough St Unit 4c, San Francisco, CA 94109-6614 | 2020-10-13 |
| 1700484029 | Melissa Mary Liptak | Marriage & Family Therapist | 2901 Webster St, San Francisco, CA 94123-4005 | 2020-10-09 |
| 1750988390 | Niki Nicole Sujata Khanna | Marriage & Family Therapist | 1699 Market St Apt 622, San Francisco, CA 94103-1327 | 2020-10-07 |
| 1821604976 | Helen Kalanithi | Marriage & Family Therapist | 584 Castro St Unit 3077, San Francisco, CA 94114-2512 | 2020-09-23 |
| 1770199648 | David Ford Peck Jr. | Marriage & Family Therapist | 1738 Union St Ste 302, San Francisco, CA 94123-4425 | 2020-09-16 |
| 1053925404 | Alison Suzette Poff | Marriage & Family Therapist | 245 11th St Ste 1, San Francisco, CA 94103-3732 | 2020-09-02 |
| 1154935930 | Jasmin Paula Littlefield | Marriage & Family Therapist | 555 Cole St Ste 6, San Francisco, CA 94117-2860 | 2020-08-31 |
| 1619589447 | Rima Sueishi Miyagawa | Marriage & Family Therapist | 447 Sutter St Ste 429, San Francisco, CA 94108-4630 | 2020-08-21 |
| Find all providers in SAN FRANCISCO | ||||
| City | SAN FRANCISCO |
| Zip Code | 94121 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.