Isabel Teresa Mize, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

98991 Issued in CA

Practice address

25 Wreden Ave
Fairfax, CA 94930-1618

Phone

(415) 302-2602

NPI assigned

Aug 15, 2023

Last updated

Aug 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Isabel Teresa Mize Professional name

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": "1692057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692057600000",
    "number": "1477336394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 WREDEN AVE",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301618",
            "telephone_number": "415-302-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 WREDEN AVE",
            "city": "FAIRFAX",
            "state": "CA",
            "postal_code": "949301618",
            "telephone_number": "415-302-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZE",
        "first_name": "ISABEL",
        "middle_name": "TERESA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-15",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "98991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEL",
            "last_name": "MIZE",
            "middle_name": "TERESA",
            "prefix": "MISS",
            "credential": "MFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Mental Health Counselor in Fairfax, CA
• Providers in Fairfax, 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 Aug 15, 2023; 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.