Individual provider Active NPI

Mia Falco

  • Marriage & Family Therapist
  • Santa Cruz, CA
National Provider Identifier
1497612097
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
153001 Issued in CA
Practice address
77 Pine Hill Dr
Santa Cruz, CA 95060-9681
Phone
(707) 695-6434
NPI assigned
Jan 6, 2026
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 153001 CA Primary

Addresses

Primary practice location

77 Pine Hill Dr
Santa Cruz, CA 95060-9681

Mailing address

77 Pine Hill Dr
Santa Cruz, CA 95060-9681
Phone (707) 695-6434

Other practice location 1

1640 Gardenia Ct
Tracy, CA 95376-0765
Phone (760) 600-0397

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

LicenseStateTypeSpecialty
153001CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sarah Mortensen Marriage and Family Counseling Marriage & Family Therapist PastSince May 14, 2023 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1767657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1497612097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 PINE HILL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950609681",
            "telephone_number": "707-695-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 PINE HILL DR",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950609681",
            "telephone_number": "707-695-6434"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1640 Gardenia Ct",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953760765",
            "country_code": "US",
            "telephone_number": "760-600-0397",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALCO",
        "first_name": "MIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-06",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.