Organization Active NPI

Liberty Through Therapy Professional Clinical Counselor, PC

  • Professional Counselor
  • San Mateo, CA
National Provider Identifier
1043144298
Registry record updated Jun 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
LIBERTY THROUGH THERAPY PROFESSIONAL CLINICAL COUNSELOR, PC
Practice address
1777 Borel PL Ste 400
San Mateo, CA 94402-3513
Phone
(415) 429-6130
Fax
(855) 229-3626
NPI assigned
Jun 11, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2026

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

Authorized official

Name
Minjun Wang, LPCCNPI 1023461720
Title
Ceo / Owner
Phone
(415) 429-6130

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

1777 Borel PL Ste 400
San Mateo, CA 94402-3513

Mailing address

1777 Borel PL Ste 400
San Mateo, CA 94402-3513
Phone (415) 429-6130

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": "1781136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781136000000",
    "number": "1043144298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 BOREL PL STE 400",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023513",
            "telephone_number": "415-429-6130",
            "fax_number": "855-229-3626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 BOREL PL STE 400",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944023513",
            "telephone_number": "415-429-6130",
            "fax_number": "855-229-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBERTY THROUGH THERAPY PROFESSIONAL CLINICAL COUNSELOR, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-11",
        "last_updated": "2026-06-11",
        "certification_date": "2026-06-11",
        "status": "A",
        "authorized_official_last_name": "WANG",
        "authorized_official_first_name": "MINJUN",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "415-429-6130",
        "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": []
}

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 Jun 11, 2026; 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.