Active NPI
Doris M Marroquin
- Mental Health Counselor
- San Mateo, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 52521
- Practice address
- 2000 Alameda de Las Pulgas Ste 200
San Mateo, CA 94403-1293 - Phone
- (650) 372-8593
- NPI assigned
- Mar 23, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | |||
| Marriage & Family Therapist | 106H00000X | 52521 | CA | |
| Mental Health Counselor | 101YM0800X | 52521 | CA | Primary |
Addresses
Primary practice location
2000 Alameda de Las Pulgas Ste 200
San Mateo, CA 94403-1293
Mailing address
2000 Alameda de Las Pulgas Ste 200
San Mateo, CA 94403-1293
Phone (650) 372-8593
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52521 | CA | MD | Periodontist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Mateo | Current | Accepting new patients | |
| San Mateo County | Current | Accepting new patients | |
| County of San Mateo | Current | Accepting new patients | |
| San Mateo County Health Department | Past | Accepting new patients |
Locations
375 89th St
Daly City, CA 94015
Phone (650) 301-8650
802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111
222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222
150 W 20th Ave
San Mateo, CA 94403
2000 Alameda de las Pulgas
Ste 200
San Mateo, CA 94403
Phone (650) 372-8540
1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- San Mateo, CA
- NPI 1679642326
-
- Community/Behavioral Health Agency
- Redwood City, CA
- NPI 1528432481
-
- Adolescent and Children Mental Health Clinic/Center
- South San Francisco, CA
- NPI 1811089659
-
- Health Maintenance Organization
- San Mateo, CA
- NPI 1891989976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1124145339",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 ALAMEDA DE LAS PULGAS STE 200",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031293",
"telephone_number": "650-372-8593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 ALAMEDA DE LAS PULGAS STE 200",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031293",
"telephone_number": "650-372-8593"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARROQUIN",
"first_name": "DORIS",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-23",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "52521",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "52521",
"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 May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.