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PHOENIX SONG LMFT
NPI 1003583220
Marriage & Family Therapist in Berkeley, CA

Active since August 25, 2021
1400 SHATTUCK AVE, STE 12, #228, BERKELEY, CA 94709(415) 545-8215 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 27, 2021, Aug 25, 2021 (2 updates tracked since 2021).

About Phoenix Song Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHOENIX SONG LMFT (NPI 1003583220) is an individual marriage & family therapist in Berkeley, California, licensed in California (109093) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1003583220
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NamePHOENIX SONGCredential: LMFT
Location Address1400 SHATTUCK AVE, STE 12, #228Berkeley, CA 94709-1411
Mailing Address1400 Shattuck Ave, Ste 12, #228Berkeley, CA 94709-1411 · (415) 545-8215
Phone(415) 545-8215
Sole ProprietorYes
Enumeration DateAugust 25, 2021
Last NPPES UpdateDecember 27, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2021
✔ NPI 1003583220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 109093
Definition
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.
1400 SHATTUCK AVE, STE 12, Berkeley, CA 94709
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Song's NPI number?

The NPI number for Phoenix Song is 1003583220. It was assigned to this individual provider in the NPPES registry on August 25, 2021.

Where is Phoenix Song located?

Phoenix Song practices at 1400 Shattuck Ave, Ste 12 #228, Berkeley, CA 94709. The listed phone number is (415) 545-8215.

What is Phoenix Song's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Phoenix Song was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.