MEDICARE: WILLIAM JIASHEN LIPSENTHAL LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	160029	CA

General Provider Information

NPI Number	:	1558225052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM JIASHEN LIPSENTHAL LMFT

Provider Business Mailing Address
First Line	:	2201 PARK BLVD APT 2
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94606-1448
Country	:	US
Telephone Number	:	415-608-9096
Fax Number	:

Provider Business Practice Location Address
First Line	:	2424 DWIGHT WAY
Second Line	:
City	:	BERKELEY
State	:	CA
Zip	:	94704-2365
Country	:	US
Telephone Number	:	415-608-9096
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/10/2025
Last Update Date	:	12/10/2025

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