Individual provider Active NPI

Maureen Angela Anchondo

  • Addiction (Substance Use Disorder) Counselor
  • Redwood City, CA
National Provider Identifier
1316611601
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
500 Allerton St FL 2
Redwood City, CA 94063-1519
Phone
(650) 599-9955
NPI assigned
Aug 2, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 133911 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

500 Allerton St FL 2
Redwood City, CA 94063-1519

Mailing address

500 Allerton St FL 2
Redwood City, CA 94063-1519
Phone (650) 599-9955

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

State licenses

LicenseStateTypeSpecialty
133911CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
El Centro de Libertad/the Freedom Center, Inc. PastSince Jan 14, 2024 Accepting new patients
One Life Counseling Center PastSince Aug 1, 2021 Accepting new patients

Organizations & group practices 2

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": "1627862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1316611601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALLERTON ST FL 2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631519",
            "telephone_number": "650-599-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 ALLERTON ST FL 2",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940631519",
            "telephone_number": "650-599-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCHONDO",
        "first_name": "MAUREEN",
        "middle_name": "ANGELA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-02",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "133911",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redwood City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.