Individual provider Active NPI

Nathaniel Gabriel Silveira-Pyzik, LPCC

  • Mental Health Counselor
  • San Carlos, CA
National Provider Identifier
1114561677
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC10101 Issued in CA
Practice address
1350 Cherry St
San Carlos, CA 94070-3008
Phone
(650) 762-8741
NPI assigned
Oct 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC10101 CA Primary

Addresses

Primary practice location

1350 Cherry St
San Carlos, CA 94070-3008

Mailing address

1350 Cherry St Ste 4
San Carlos, CA 94070-3008
Phone (650) 762-8741

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPCC10101CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
One Life Counseling Center PastSince Nov 1, 2019 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735776000000",
    "number": "1114561677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 CHERRY ST STE 4",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703008",
            "telephone_number": "650-762-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1350 CHERRY ST",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703008",
            "telephone_number": "650-762-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVEIRA-PYZIK",
        "first_name": "NATHANIEL",
        "middle_name": "GABRIEL",
        "name_prefix": "Mr.",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-10-28",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC10101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; 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.