THERESA HALL LMFT
NPI 1174108328
Marriage & Family Therapist in Larkspur, CA

Q: What is Theresa Hall's NPI number?

The NPI number for Theresa Hall is 1174108328. It was assigned to this individual provider in the NPPES registry on March 9, 2021.

Q: What is Theresa Hall's specialty?

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

Q: Is Theresa Hall enrolled in Medicare?

No. Theresa Hall has opted out of Medicare through April 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Theresa Hall was last updated on March 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 09, 2021Opted out of Medicare · through Apr 28, 2027

5 BON AIR RD STE 105, LARKSPUR, CA 94939(415) 461-0440(415) 461-3792 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Theresa Hall Lmft NPPES

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

THERESA HALL LMFT (NPI 1174108328) is an individual marriage & family therapist in Larkspur, California, licensed in California (35002) and active in the NPI registry since March 2021. She has opted out of Medicare through April 28, 2027.

NPPES Registry Identity

NPI1174108328

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameTHERESA HALLCredential: LMFT

Location Address5 BON AIR RD STE 105Larkspur, CA 94939-1137

Mailing Address5 Bon Air Rd Ste 105Larkspur, CA 94939-1137 · (415) 461-0440

Phone(415) 461-0440

Fax(415) 461-3792

Sole ProprietorNo

Enumeration DateMarch 9, 2021

NPPES CertifiedMarch 8, 2021

✔ NPI 1174108328 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 · 35002

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.

5 BON AIR RD STE 105, Larkspur, CA 94939

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Theresa Hall Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 28, 2025 through April 28, 2027.

Opt-Out Effective DateApril 28, 2025

Opt-Out In Effect ThroughApril 28, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIKELLE MILES MOONEY LPCC

Counselor (Mental Health)