Individual provider Active NPI

Julia Gabriela Di Rienzo, MFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
National Provider Identifier
1003056631
Registry record updated Feb 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC43595 Issued in CA
Practice address
1460 Maria Lane Ste 310
Walnut Creek, CA 94596
Phone
(925) 937-9707
Fax
(925) 299-1928
NPI assigned
Feb 22, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC43595 CA Primary

Addresses

Primary practice location

1460 Maria Lane Ste 310
Walnut Creek, CA 94596

Mailing address

PO Box 623
Lafayette, CA 94549-0623
Phone (925) 937-9707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC43595CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Minds Marriage and Family Therapy, Inc Marriage & Family Therapist Current Accepting new patients

Locations

1460 Maria Ln
Ste 310
Walnut Creek, CA 94596
Phone (925) 357-5258

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235260800000",
    "number": "1003056631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 623",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945490623",
            "telephone_number": "925-937-9707",
            "fax_number": "925-299-1928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 MARIA LANE STE 310",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "94596",
            "telephone_number": "925-937-9707",
            "fax_number": "925-299-1928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI RIENZO",
        "first_name": "JULIA",
        "middle_name": "GABRIELA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-22",
        "last_updated": "2009-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC43595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.