Mario Macias Jr., MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF73931 Issued in CA

Practice address

511 Estudillo Ave
San Leandro, CA 94577-4611

Phone

(510) 746-7480

NPI assigned

Apr 18, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Mario Macias Jr. Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Subacute Treatment for Adolescent Rehabilitation Services, Inc.

  dba Prescott School

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1558684738
  NPD (past)

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

{
    "created_epoch": "1303084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1477843902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 SHELLMOUND ST APT 6216",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946081065",
            "telephone_number": "559-417-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774611",
            "telephone_number": "510-746-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIAS",
        "first_name": "MARIO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-18",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF73931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIO",
            "last_name": "MACIAS",
            "suffix": "JR.",
            "credential": "MFTI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Christopher Daniel Macchesney, D.C.
• Robyn Starr Macconnell
• Kayla Mace
• Elizabeth Macera, N.P.
• Josini Machathil
• Francisco Maciel
• Zachary S Mack
• Marguerite Mackenzie, R.N.
• Mallori V Macklin
• Padmavathi Madathanapalli, MD

• Mental Health Counselor in San Leandro, CA
• Providers in San Leandro, 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 Feb 19, 2015; 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.