MARY ANDERSON M.A.
NPI 1396292009
Marriage & Family Therapist in San Francisco, CA

Q: What is Mary Anderson's NPI number?

The NPI number for Mary Anderson is 1396292009. It was assigned to this individual provider in the NPPES registry on September 10, 2016.

Q: What is Mary Anderson's specialty?

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

Q: Is Mary Anderson enrolled in Medicare?

No. Mary Anderson has opted out of Medicare through January 1, 2028. 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 Mary Anderson was last updated on September 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 September 10, 2016Opted out of Medicare · through Jan 1, 2028

626 BALBOA ST, SAN FRANCISCO, CA 94118(628) 333-4613 Get Directions Write a Review

NPPES record last updated: September 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mary Anderson M.a. NPPES

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

MARY ANDERSON M.A. (NPI 1396292009) is an individual marriage & family therapist in San Francisco, California and active in the NPI registry since September 2016. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1396292009

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARY ANDERSONCredential: M.A.

Location Address626 BALBOA STSan Francisco, CA 94118-3725

Mailing Address626 Balboa StSan Francisco, CA 94118-3725

Phone(628) 333-4613

Sole ProprietorYes

Enumeration DateSeptember 10, 2016

✔ NPI 1396292009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

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.

626 BALBOA ST, San Francisco, CA 94118

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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

Mary Anderson M.a. 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 January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

CAROLYN MARIE JASCULCA M.A, M.P.A, MFTI

Marriage & Family Therapist