Healthcare Provider Details

I. General information

NPI: 1811277817
Provider Name (Legal Business Name): LAURA JANE KAUTH LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAURA KAUTH ADAMS

II. Dates (important events)

Enumeration Date: 08/22/2011
Last Update Date: 03/21/2025
Certification Date: 03/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

413 MAIN ST STE F
HALF MOON BAY CA
94019-1749
US

IV. Provider business mailing address

PO BOX 431
MOSS BEACH CA
94038
US

V. Phone/Fax

Practice location:
  • Phone: 650-409-7008
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number54860
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: