Individual provider Active NPI

Myrna Arevalo Salas, LMFT 89467

  • Marriage & Family Therapist
  • Castro Valley, CA
National Provider Identifier
1023324951
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
89467 Issued in CA
Practice address
1700 Norbridge Ave Ste E
Castro Valley, CA 94546-5700
Phone
(510) 982-6803
NPI assigned
Aug 30, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 89467 CA
Professional Counselor 101YP2500X
Marriage & Family Therapist 106H00000X 89467 CA Primary

Addresses

Primary practice location

1700 Norbridge Ave Ste E
Castro Valley, CA 94546-5700

Mailing address

1700 Norbridge Ave Ste E
Castro Valley, CA 94546-5700

Other practice location 1

207 37th St
Richmond, CA 94805-2105
Phone (510) 233-7555 ext. 44

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

LicenseStateTypeSpecialty
89467CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1283126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1023324951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 NORBRIDGE AVE STE E",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 NORBRIDGE AVE STE E",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945465700",
            "telephone_number": "510-982-6803"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "207 37th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948052105",
            "country_code": "US",
            "telephone_number": "510-233-7555 x44",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AREVALO SALAS",
        "first_name": "MYRNA",
        "credential": "LMFT 89467",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-30",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "89467",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castro Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.