Active NPI
Victoria Jeneke King, LMFT
- Marriage & Family Therapist
- San Leandro, CA
National Provider Identifier
1184858227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 99231
- Practice address
- 333 Estudillo Ave Ste 206
San Leandro, CA 94577-4717 - Phone
- (510) 750-4678
- NPI assigned
- May 4, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 64152 | CA | |
| Marriage & Family Therapist | 106H00000X | 99231 | CA | Primary |
Addresses
Primary practice location
333 Estudillo Ave Ste 206
San Leandro, CA 94577-4717
Mailing address
PO Box 3802
Hayward, CA 94540-3802
Phone (510) 750-4678
Other practice location 1
545 Estudillo Ave
San Leandro, CA 94577-4611
Phone (510) 352-9200
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 64152 | CA | MD | Dentist |
| 99231 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1241395200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1184858227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3802",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945403802",
"telephone_number": "510-750-4678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 ESTUDILLO AVE STE 206",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "945774717",
"telephone_number": "510-750-4678"
}
],
"practiceLocations": [
{
"address_1": "545 Estudillo Ave",
"address_purpose": "LOCATION",
"city": "San Leandro",
"state": "CA",
"postal_code": "945774611",
"country_code": "US",
"telephone_number": "510-352-9200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "VICTORIA",
"middle_name": "JENEKE",
"name_prefix": "Mrs.",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-04",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "64152",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "99231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.