Individual provider Active NPI

Suzanne Marie Hughes, MFT

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1073531414
Registry record updated Dec 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 35321 Issued in CA
Practice address
1510 Fashion Island Blvd
Suite 110
San Mateo, CA 94404-1596
Phone
(415) 860-1475
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2019

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 MFT 35321 CA Primary

Addresses

Primary practice location

1510 Fashion Island Blvd
Suite 110
San Mateo, CA 94404-1596

Mailing address

1510 Fashion Island Blvd
Suite 110
San Mateo, CA 94404-1596
Phone (415) 860-1475

Other names 1

  • Suzanne Marie Budrick Former name

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: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT 35321CAMDMarriage & Family Therapist
35321CAMDLicensed Psychiatric Technician

Practice roles

OrganizationSpecialtyStatusNew patients
One Life Counseling Center Current Accepting new patients
One Life Counseling Center Current Accepting new patients

Locations

1303 San Carlos Ave
San Carlos, CA 94070
Phone (650) 394-5155

Organizations & group practices 2

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577750400000",
    "number": "1073531414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD",
            "address_2": "SUITE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041596",
            "telephone_number": "415-860-1475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD",
            "address_2": "SUITE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041596",
            "telephone_number": "415-860-1475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2019-12-31",
        "certification_date": "2019-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 35321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUZANNE",
            "last_name": "BUDRICK",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.