Organization Active NPI

Maria Rivas-Wolf, Licensed Marriage and Family Therapist Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Carlos, CA
National Provider Identifier
1235846932
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MARIA RIVAS-WOLF, LICENSED MARRIAGE AND FAMILY THERAPIST INC.
Practice address
1209 Eaton Ave Ste 1
San Carlos, CA 94070-5234
Phone
(650) 208-9815
NPI assigned
Nov 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2022

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

Authorized official

Name
Maria Rivas-WolfNPI 1265612907
Title
Owner
Phone
(650) 208-9815

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

1209 Eaton Ave Ste 1
San Carlos, CA 94070-5234

Mailing address

1209 Eaton Ave Ste 1
San Carlos, CA 94070-5234
Phone (650) 208-9815

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: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jan 2, 2024 through Jan 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Locations

1209 Eaton Ave
Ste 1
San Carlos, CA 94070
Phone (650) 208-9815

1145 Saint Francis Way
San Carlos, CA 94070
Phone (650) 208-9815

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667347200000",
    "number": "1235846932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 EATON AVE STE 1",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705234",
            "telephone_number": "650-208-9815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 EATON AVE STE 1",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705234",
            "telephone_number": "650-208-9815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA RIVAS-WOLF, LICENSED MARRIAGE AND FAMILY THERAPIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A",
        "authorized_official_last_name": "RIVAS-WOLF",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-208-9815"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

Verify at the official NPI Registry.