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ANNA CLARK LMFT
NPI 1265714018
Marriage & Family Therapist in San Francisco, CA

Active since September 16, 2011Opted out of Medicare · through Apr 15, 2028
1257B MONTGOMERY ST, SAN FRANCISCO, CA 94133(415) 735-4512 Get Directions Write a Review

NPPES record last updated: April 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Anna Clark Lmft NPPES

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

ANNA CLARK LMFT (NPI 1265714018) is an individual marriage & family therapist in San Francisco, California, licensed in California (92396) and active in the NPI registry since September 2011. She has opted out of Medicare through April 15, 2028.

NPPES Registry Identity

NPI1265714018
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameANNA CLARKCredential: LMFT
Location Address1257B MONTGOMERY STSan Francisco, CA 94133-7066
Mailing Address1257b Montgomery StSan Francisco, CA 94133-7066 · (415) 735-4512
Phone(415) 735-4512
Sole ProprietorYes
Enumeration DateSeptember 16, 2011
Last NPPES UpdateApril 7, 2016
✔ NPI 1265714018 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 · 92396
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.
1257B MONTGOMERY ST, San Francisco, CA 94133
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Anna Clark 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 15, 2024 through April 15, 2028.

Opt-Out Effective DateApril 15, 2024
Opt-Out In Effect ThroughApril 15, 2028Opt-out affidavits renew automatically every two years unless cancelled

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 Anna Clark's NPI number?

The NPI number for Anna Clark is 1265714018. It was assigned to this individual provider in the NPPES registry on September 16, 2011.

Where is Anna Clark located?

Anna Clark practices at 1257B Montgomery St, San Francisco, CA 94133. The listed phone number is (415) 735-4512.

What is Anna Clark's specialty?

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

Is Anna Clark enrolled in Medicare?

No. Anna Clark has opted out of Medicare through April 15, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Anna Clark was last updated on April 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.