Dieumerci Mukoga

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

400 Concar Dr
San Mateo, CA 94402-2681

Phone

(650) 646-2532

NPI assigned

Mar 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1648425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648425600000",
    "number": "1346990751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11615 EVESBOROUGH DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770991905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CONCAR DR",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022681",
            "telephone_number": "650-646-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUKOGA",
        "first_name": "DIEUMERCI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-28",
        "last_updated": "2022-03-28",
        "certification_date": "2022-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.hellobrightline.com/",
            "affiliation": "N",
            "address_1": "400 Concar Dr",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944022681",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Sadie Moua
• Stacie Moura
• Michael Tyrone Mouton
• Ashley Mrozek, MFTI, PCCI
• Robert Anthony Mueller, MD
• Patrick R. Mulligan, M.D.
• Katie Rebecca Mullnix
• Ana Mummah, MD
• Rachel Munoz
• Michelle D Munroe

• Mental Health Counselor in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.