Lisa A Montalvo, MFT, CEAP,SAP

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT 31889 Issued in CA

Practice address

1395 San Carlos Ave
Suite C#4
San Carlos, CA 94070-2388

Phone

(650) 631-0909

Fax

(650) 631-0909

NPI assigned

Jan 7, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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 Feb 19, 2024 through Feb 19, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1136592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1419033600000",
    "number": "1295713345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 SAN CARLOS AVE",
            "address_2": "SUITE C#4",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702388",
            "telephone_number": "650-631-0909",
            "fax_number": "650-631-0909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1395 SAN CARLOS AVE",
            "address_2": "SUITE C#4",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702388",
            "telephone_number": "650-631-0909",
            "fax_number": "650-631-0909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTALVO",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "MFT, CEAP,SAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-07",
        "last_updated": "2014-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 31889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.