Active NPI
Gina Minutillo
- Marriage & Family Therapist
- Pleasant Hill, CA
National Provider Identifier
1003364613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 106781
- Practice address
- 3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304 - Phone
- (925) 933-2627
- NPI assigned
- Sep 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 106781 | CA | Primary |
Addresses
Primary practice location
3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304
Mailing address
3480 Buskirk Ave Ste 210
Pleasant Hill, CA 94523-4304
Phone (925) 933-2627
Other practice location 1
950 W Julian St
San Jose, CA 95126-2719
Phone (408) 292-9353
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 106781 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605830400000",
"number": "1003364613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3480 BUSKIRK AVE STE 210",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234304",
"telephone_number": "925-933-2627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3480 BUSKIRK AVE STE 210",
"city": "PLEASANT HILL",
"state": "CA",
"postal_code": "945234304",
"telephone_number": "925-933-2627"
}
],
"practiceLocations": [
{
"address_1": "950 W Julian St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951262719",
"country_code": "US",
"telephone_number": "408-292-9353",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MINUTILLO",
"first_name": "GINA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-13",
"last_updated": "2020-11-20",
"certification_date": "2020-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "106781",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pleasant Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.