Individual provider Active NPI

Daniel None Vigil, MFCC

  • Marriage & Family Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1225050537
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MK19214 Issued in CA
Practice address
31878 Del Obispo St Ste 118-384
San Juan Capistrano, CA 92675-3223
Phone
(949) 586-1703
Fax
(949) 481-1825
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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 MK19214 CA Primary

Addresses

Primary practice location

31878 Del Obispo St Ste 118-384
San Juan Capistrano, CA 92675-3223

Mailing address

31878 Del Obispo St # 118-384
San Juan Capistrano, CA 92675-3223
Phone (949) 586-1703

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240926004600 CA Practitioner - Marriage and Family Therapist 1850822172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

San Juan Capistrano, CA 92675
Phone (949) 586-1703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MK19214CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Viejo Counseling Inc Marriage & Family Therapist CurrentSince Apr 6, 2024 Accepting new patients

Locations

23120 Alicia Pkwy
Ste 200
Mission Viejo, CA 92692
Phone (949) 272-3870

31878 Del Obispo St
San Juan Capistrano, CA 92675
Phone (949) 586-1703

31878 Del Obispo St
Ste 118384
San Juan Capistrano, CA 92675
Phone (949) 586-1703

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1225050537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31878 DEL OBISPO ST # 118-384",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753223",
            "telephone_number": "949-586-1703",
            "fax_number": "949-586-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31878 DEL OBISPO ST STE 118-384",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753223",
            "telephone_number": "949-586-1703",
            "fax_number": "949-481-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGIL",
        "first_name": "DANIEL",
        "middle_name": "NONE",
        "name_prefix": "Mr.",
        "credential": "MFCC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MK19214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

Verify at the official NPI Registry.