Individual provider Active NPI

Marcia Ann Vasconcelos, LMFT

  • Marriage & Family Therapist
  • Santa Paula, CA
National Provider Identifier
1114113586
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 40995 Issued in CA
Practice address
40 North Wells Road
Santa Paula, CA 93060
Phone
(805) 889-2578
Fax
(805) 384-1555
NPI assigned
Sep 19, 2007
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X MFC40995 CA
Marriage & Family Therapist 106H00000X MFC 40995 CA Primary

Addresses

Primary practice location

40 North Wells Road
Santa Paula, CA 93060

Mailing address

PO Box 2989
Ventura, CA 93002
Phone (805) 889-2578

Other identifiers 1

IdentifierTypeStateIssuer
01592204OtherCAMEDICAL PIN

Other names 1

  • Marcia Vasconcelos Neville Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 15, 2025 through Dec 15, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC40995CAMDAddiction (Substance Use Disorder) Counselor
MFC 40995CAMDMarriage & Family Therapist
80995CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Veritas Centers CurrentSince Jan 26, 2022 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1190160000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1114113586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2989",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "93002",
            "telephone_number": "805-889-2578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 NORTH WELLS ROAD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "93060",
            "telephone_number": "805-889-2578",
            "fax_number": "805-384-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASCONCELOS",
        "first_name": "MARCIA",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-19",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MFC40995",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 40995",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PIN",
            "identifier": "01592204",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARCIA",
            "last_name": "NEVILLE",
            "middle_name": "VASCONCELOS",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.