Active NPI
Renee M Finnicum, LPCC (CA)
- Professional Counselor
- San Mateo, CA
National Provider Identifier
1376817270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 2456
- Practice address
- 307 2ND Ave
San Mateo, CA 94401-3905 - Phone
- (585) 899-0513
- NPI assigned
- Feb 24, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 2456 | CA | Primary |
Addresses
Primary practice location
307 2ND Ave
San Mateo, CA 94401-3905
Mailing address
307 2ND Ave
San Mateo, CA 94401-3905
Phone (585) 899-0513
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2456 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Little Munchkins Professional Clinical Counselor Inc | Professional | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Professional Counselor
- San Mateo, CA
- NPI 1023660867
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1330041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584748800000",
"number": "1376817270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "307 2ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013905",
"telephone_number": "585-899-0513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "307 2ND AVE",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944013905",
"telephone_number": "585-899-0513"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FINNICUM",
"first_name": "RENEE",
"middle_name": "M",
"credential": "LPCC (CA)",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-02-24",
"last_updated": "2020-03-21",
"certification_date": "2020-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "2456",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.