Monica Lynn Ippolito, MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

112860 Issued in CA

Practice address

355 Gellert Blvd Ste 257
Daly City, CA 94015-2676

Phone

(888) 588-8995

NPI assigned

Nov 21, 2016

Last updated

Oct 23, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adolescent Counseling Services

  • Community/Behavioral Health Agency
  • Redwood City, CA
  • NPI 1457807810
  NPD (past)
• Ever After Individual and Family Therapy

  • Mental Health Counselor
  • San Ramon, CA
  • NPI 1700578614
  NPD (past)

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

{
    "created_epoch": "1479686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1326581455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 G ST STE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958140894",
            "telephone_number": "888-588-8995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 GELLERT BLVD STE 257",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152676",
            "telephone_number": "888-588-8995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IPPOLITO",
        "first_name": "MONICA",
        "middle_name": "LYNN",
        "name_prefix": "Miss",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-21",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "82062",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Impaq Home Health, Inc
• Stephanie Kiyoko Inaba, MS, CCC-SLP
• Maxine Inocencio, MD
• Insite Digestive Health Care
• International Rehabilitation Institute
• Timothy Frederick Isaacs, MD
• Varsha Ivanova, DPM
• J & E Home, Inc.
• Amanda Jaber
• Emerald Jackson

• Marriage & Family Therapist in Daly City, CA
• Providers in Daly City, 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 Oct 23, 2023; 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.