Individual provider Active NPI

Barbara C Widney, LMFTT

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1396880209
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
36256 Issued in CA
Practice address
851 Fremont Ave Ste 210
Los Altos, CA 94024-5602
Phone
(650) 852-0266
Fax
(650) 321-3460
NPI assigned
Feb 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 36256 CA Primary

Addresses

Primary practice location

851 Fremont Ave Ste 210
Los Altos, CA 94024-5602

Mailing address

851 Fremont Ave Ste 210
Los Altos, CA 94024-5602
Phone (650) 852-0266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
36256CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1396880209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 210",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "650-852-0266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 210",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "650-852-0266",
            "fax_number": "650-321-3460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIDNEY",
        "first_name": "BARBARA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LMFTT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

Verify at the official NPI Registry.