Individual provider Active NPI

Rose Marie Ann Dito, MFT

  • Mental Health Counselor
  • Burlingame, CA
National Provider Identifier
1265567895
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC28372 Issued in CA
Practice address
1838 El Camino Real
Suite 220
Burlingame, CA 94010-3126
Phone
(650) 692-4118
Fax
(501) 638-9293
NPI assigned
Feb 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC28372 CA Primary

Addresses

Primary practice location

1838 El Camino Real
Suite 220
Burlingame, CA 94010-3126

Mailing address

2404 10TH St
Berkeley, CA 94710-2506
Phone (510) 666-1158

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
I20240904000200 CA Practitioner - Marriage and Family Therapist 8022557115 Practice locations: Berkeley, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC28372CAMDMental Health Counselor
28372CAMDClinical Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265567895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2404 10TH ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947102506",
            "telephone_number": "510-666-1158",
            "fax_number": "501-638-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1838 EL CAMINO REAL",
            "address_2": "SUITE 220",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103126",
            "telephone_number": "650-692-4118",
            "fax_number": "501-638-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITO",
        "first_name": "ROSE MARIE",
        "middle_name": "ANN",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC28372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlingame, CA

Sources for this page

Verify at the official NPI Registry.