MAYA D CULBERTSON-LANE MFT
NPI 1699032375
Marriage & Family Therapist in San Francisco, CA

Q: What is Maya Culbertson-lane's NPI number?

The NPI number for Maya Culbertson-lane is 1699032375. It was assigned to this individual provider in the NPPES registry on April 18, 2012.

Q: What is Maya Culbertson-lane's specialty?

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

Q: Is Maya Culbertson-lane enrolled in Medicare?

No. Maya Culbertson-lane has opted out of Medicare through March 5, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since April 18, 2012Opted out of Medicare · through Mar 5, 2028

1550 TREAT AVE, SAN FRANCISCO, CA 94110(415) 678-9549 Get Directions Write a Review

NPPES record last updated: January 31, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Maya D Culbertson-lane Mft NPPES

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

MAYA D CULBERTSON-LANE MFT (NPI 1699032375) is an individual marriage & family therapist in San Francisco, California, licensed in California (50303) and active in the NPI registry since April 2012. She has opted out of Medicare through March 5, 2028.

NPPES Registry Identity

NPI1699032375

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMAYA D CULBERTSON-LANECredential: MFT

Location Address1550 TREAT AVESan Francisco, CA 94110

Mailing Address1550 Treat AveSan Francisco, CA 94110 · (415) 678-9549

Phone(415) 678-9549

Sole ProprietorYes

Enumeration DateApril 18, 2012

Last NPPES UpdateJanuary 31, 2013

✔ NPI 1699032375 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 · 50303

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.

1550 TREAT AVE, San Francisco, CA 94110

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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

Maya D Culbertson-lane Mft 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 March 5, 2024 through March 5, 2028.

Opt-Out Effective DateMarch 5, 2024

Opt-Out In Effect ThroughMarch 5, 2028Opt-out affidavits renew automatically every two years unless cancelled

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Other Providers at the Same Location NPPES 20

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

ERIN HENNESSY

Marriage & Family Therapist