Active NPI
Sydna Christine Konstin, MS COUNSELING MFT
- Mental Health Counselor
- San Mateo, CA
National Provider Identifier
1114197852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1021 South El Camino Real
San Mateo, CA 94402 - Phone
- (650) 830-1765
- NPI assigned
- Mar 10, 2008
- Reactivated
- Sep 12, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1021 South El Camino Real
San Mateo, CA 94402
Mailing address
Starvista
1021 South El Camino Real
San Mateo, CA 94402
Phone (650) 830-1765
Other practice location 1
1562 Delores
San Francisco, CA 94110
Phone (415) 641-5123
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1114197852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "STARVISTA",
"address_2": "1021 SOUTH EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94402",
"telephone_number": "650-830-1765"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 SOUTH EL CAMINO REAL",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "94402",
"telephone_number": "650-830-1765"
}
],
"practiceLocations": [
{
"address_1": "1562 Delores",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "94110",
"country_code": "US",
"telephone_number": "415-641-5123",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KONSTIN",
"first_name": "SYDNA",
"middle_name": "CHRISTINE",
"name_prefix": "Ms.",
"credential": "MS COUNSELING MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-10",
"last_updated": "2018-10-01",
"deactivation_date": "2009-08-17",
"reactivation_date": "2018-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"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 Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.