Individual provider Active NPI

Rebecca Lee Kolker Zhang, LMFT

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1437610995
Registry record updated Mar 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
100827 Issued in CA
Practice address
1660 S Amphlett Blvd Ste 217
San Mateo, CA 94402-2508
Phone
(650) 667-0652
NPI assigned
Mar 27, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2019

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 100827 CA Primary

Addresses

Primary practice location

1660 S Amphlett Blvd Ste 217
San Mateo, CA 94402-2508

Mailing address

750 Alma Lane Suite 100 #4232
Foster City, CA 94404
Phone (650) 667-0652

Other names 1

  • Rebecca Lee Kolker Former name

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 10, 2024 through Jan 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
100827CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1553644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553644800000",
    "number": "1437610995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 ALMA LANE SUITE 100 #4232",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "94404",
            "telephone_number": "650-667-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 S AMPHLETT BLVD STE 217",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022508",
            "telephone_number": "650-667-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLKER ZHANG",
        "first_name": "REBECCA",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-27",
        "last_updated": "2019-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "100827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "KOLKER",
            "middle_name": "LEE",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.