Organization Active NPI

Little Munchkins Professional Clinical Counselor Inc

  • Professional Counselor
  • San Mateo, CA
National Provider Identifier
1023660867
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LITTLE MUNCHKINS PROFESSIONAL CLINICAL COUNSELOR INC
Doing business as
Little Munchkins
Little Munchkins Therapy
Practice address
1905 Palm Ave
San Mateo, CA 94403-1326
Phone
(650) 405-7022
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

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

Authorized official

Name
Renee Finnicum, LPCCNPI 1376817270
Title
Owner / Founder
Phone
(650) 405-7022

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

1905 Palm Ave
San Mateo, CA 94403-1326

Mailing address

1905 Palm Ave
San Mateo, CA 94403-1326
Phone (650) 405-7022

Other names 2

  • Little Munchkins Doing business as
  • Little Munchkins Therapy Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562803200000",
    "number": "1023660867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1905 PALM AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031326",
            "telephone_number": "650-405-7022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 PALM AVE",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031326",
            "telephone_number": "650-405-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE MUNCHKINS PROFESSIONAL CLINICAL COUNSELOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2019-07-11",
        "status": "A",
        "authorized_official_last_name": "FINNICUM",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER /  FOUNDER",
        "authorized_official_telephone_number": "650-405-7022",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Little Munchkins",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Little Munchkins Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2019; 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.