Individual provider Active NPI

Christopher Roy Stephen Dirks, LMFT

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1154478303
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
47601 Issued in CA
Practice address
2000 Alameda de Las Pulgas Ste 200
San Mateo, CA 94403-1293
Phone
(650) 465-0227
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 47601 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) 465-0227

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
47601CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Mateo County CurrentSince Dec 1, 2024 Accepting new patients
County of San Mateo CurrentSince Dec 1, 2024 Accepting new patients
County of San Mateo Current Accepting new patients
Caminar Current Accepting new patients
Caminar CurrentSince Feb 24, 2024 Accepting new patients
Homeless Children'S Network Past Accepting new patients

Locations

375 89th St
Daly City, CA 94015
Phone (650) 301-8650

1410 Marshall St
Redwood City, CA 94063
Phone (650) 366-0789

802 Brewster Ave
Redwood City, CA 94063
Phone (650) 363-4111

2600 S El Camino Real
Ste 200
San Mateo, CA 94403
Phone (650) 372-4080

1950 Alameda de las Pulgas
San Mateo, CA 94403
Phone (650) 573-3571

2000 Alameda de las Pulgas
Ste 200
San Mateo, CA 94403
Phone (650) 372-8540

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

2600 S El Camino Real
Fl 2
San Mateo, CA 94403

411 Borel Ave
Ste 101
San Mateo, CA 94402
Phone (650) 372-4080

Organizations & group practices 6

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1154478303",
    "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": "650-465-0227"
        },
        {
            "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": "650-465-0227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRKS",
        "first_name": "CHRISTOPHER",
        "middle_name": "ROY STEPHEN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "47601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.