Vicki Lynn Remer, M.F.T.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC 42986 Issued in CA

Practice address

2400 Las Gallinas Ave Ste 135a
San Rafael, CA 94903-1452

Phone

(415) 235-1660

Fax

(415) 295-7318

NPI assigned

Nov 17, 2006

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1376617910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MOUNT MUIR CT",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031105",
            "telephone_number": "415-235-1660",
            "fax_number": "415-479-2119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 LAS GALLINAS AVE STE 135A",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949031452",
            "telephone_number": "415-235-1660",
            "fax_number": "415-295-7318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REMER",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "credential": "M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC 42986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in San Rafael, CA
• Providers in San Rafael, 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 Sep 12, 2018; 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.