Active NPI
Melissa Larcher
- Addiction (Substance Use Disorder) Counselor
- San Mateo, CA
National Provider Identifier
1477042471
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 2015 Pioneer CT Ste B
San Mateo, CA 94403-1736 - Phone
- (650) 348-6603
- NPI assigned
- May 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-18-53928 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
2015 Pioneer CT Ste B
San Mateo, CA 94403-1736
Mailing address
2015 Pioneer CT Ste B
San Mateo, CA 94403-1736
Phone (650) 348-6603
Other practice location 1
1900 Embarcadero Ste 310
Oakland, CA 94606-5227
Phone (510) 832-4383
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 |
|---|---|---|---|
| RBT-18-53928 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549324800000",
"number": "1477042471",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 PIONEER CT STE B",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031736",
"telephone_number": "650-348-6603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2015 PIONEER CT STE B",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944031736",
"telephone_number": "650-348-6603"
}
],
"practiceLocations": [
{
"address_1": "1900 Embarcadero Ste 310",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946065227",
"country_code": "US",
"telephone_number": "510-832-4383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LARCHER",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-04",
"last_updated": "2019-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "RBT-18-53928",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"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 Feb 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.