Individual provider Active NPI

Victoria Ziskin, MFT

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1255351094
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
33277 Issued in CA
Practice address
2625 Wilson St
Eureka, CA 95503-4829
Phone
(707) 442-2200
Fax
(707) 442-2200
NPI assigned
Jul 21, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 33277 CA Primary

Addresses

Primary practice location

2625 Wilson St
Eureka, CA 95503-4829

Mailing address

2625 Wilson St
Eureka, CA 95503-4829
Phone (707) 442-2200

Other names 1

  • Vikki Ziskin Other name

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
I20240129002706 CA Practitioner - Marriage and Family Therapist 5294188025 Practice locations: Eureka, CA

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2625 Wilson St
Eureka, CA 95503-4829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
33277CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1255351094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 WILSON ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034829",
            "telephone_number": "707-442-2200",
            "fax_number": "707-442-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 WILSON ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034829",
            "telephone_number": "707-442-2200",
            "fax_number": "707-442-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISKIN",
        "first_name": "VICTORIA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "33277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIKKI",
            "last_name": "ZISKIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

Verify at the official NPI Registry.