Individual provider Active NPI

Linda Vermeulen, MFT

  • Marriage & Family Therapist
  • Ripon, CA
National Provider Identifier
1497198618
Registry record updated May 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC33159 Issued in CA
Practice address
1271 Spring Creek Dr
Ripon, CA 95366-2231
Phone
(209) 200-4747
NPI assigned
Apr 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MFT33159 CA
Marriage & Family Therapist 106H00000X MFC33159 CA Primary

Addresses

Primary practice location

1271 Spring Creek Dr
Ripon, CA 95366-2231

Mailing address

1271 Spring Creek Dr
Ripon, CA 95366-2231
Phone (209) 200-4747

Other practice location 1

1904 Richland Ave
Ceres, CA 95307-4562
Phone (209) 541-2121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT33159CAMDCounselor
MFC33159CAMDMarriage & Family Therapist
33159CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588550400000",
    "number": "1497198618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 SPRING CREEK DR",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953662231",
            "telephone_number": "209-200-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 SPRING CREEK DR",
            "city": "RIPON",
            "state": "CA",
            "postal_code": "953662231",
            "telephone_number": "209-200-4747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1904 Richland Ave",
            "address_purpose": "LOCATION",
            "city": "Ceres",
            "state": "CA",
            "postal_code": "953074562",
            "country_code": "US",
            "telephone_number": "209-541-2121",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMEULEN",
        "first_name": "LINDA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-08",
        "last_updated": "2020-05-04",
        "certification_date": "2020-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFT33159",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC33159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripon, CA

Sources for this page

Verify at the official NPI Registry.