Individual provider Active NPI

Maria Rivas-Wolf, M.S.

  • Marriage & Family Therapist
  • San Carlos, CA
National Provider Identifier
1265612907
Registry record updated Nov 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC46145 Issued in CA
Practice address
1209 Eaton Ave Ste 1
San Carlos, CA 94070-5234
Phone
(650) 208-9815
NPI assigned
Nov 9, 2007
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC46145 CA 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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC46145CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maria Rivas-Wolf, Licensed Marriage and Family Therapist Inc. Marriage & Family Therapist CurrentSince Nov 6, 2022 Accepting new patients

Locations

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

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": "1194566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1265612907",
    "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": {
        "last_name": "RIVAS-WOLF",
        "first_name": "MARIA",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-09",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC46145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Carlos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.

Verify at the official NPI Registry.