Active NPI
Maribel Leiva, CATC
- Addiction (Substance Use Disorder) Counselor
- San Francisco, CA
National Provider Identifier
1518165653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 144641 -CAADE
- Practice address
- 1724 Bryant St
San Francisco, CA 94110 - Phone
- (415) 558-9125
- Fax
- (415) 558-9160
- NPI assigned
- Jul 10, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 144641 -CAADE | CA | Primary |
Addresses
Primary practice location
1724 Bryant St
San Francisco, CA 94110
Mailing address
1001 Sneath LN Ste 210
San Bruno, CA 94066-2349
Phone (415) 558-9125
Other practice location 1
1001 Sneath Ln Ste 210
San Bruno, CA 94066-2349
Phone (415) 558-9125
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 38932 | Other | CA | AVIVA- MOM |
| 38935 | Other | CA | AVIVA- BABIES |
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 |
|---|---|---|---|
| 144641 -CAADE | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun | Past | Accepting new patients | |
| Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun | Addiction (Substance Use Disorder) | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Substance Abuse Rehabilitation Facility
- San Bruno, CA
- NPI 1417093105
Addiction (Substance Use Disorder)
-
- Children's Substance Abuse Rehabilitation Facility
- San Francisco, CA
- NPI 1588700264
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530144000000",
"number": "1518165653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 SNEATH LN STE 210",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940662349",
"telephone_number": "415-558-9125",
"fax_number": "650-244-1447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1724 BRYANT ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "94110",
"telephone_number": "415-558-9125",
"fax_number": "415-558-9160"
}
],
"practiceLocations": [
{
"address_1": "1001 Sneath Ln Ste 210",
"address_purpose": "LOCATION",
"city": "San Bruno",
"state": "CA",
"postal_code": "940662349",
"country_code": "US",
"telephone_number": "415-558-9125",
"fax_number": "650-244-1447",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LEIVA",
"first_name": "MARIBEL",
"credential": "CATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-10",
"last_updated": "2018-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "144641 -CAADE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVIVA- MOM",
"identifier": "38932",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVIVA- BABIES",
"identifier": "38935",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.