Individual provider Active NPI

Maria Magnolia Pilecki, MS COUNSELING

  • Counselor
  • Livermore, CA
National Provider Identifier
1558645432
Registry record updated Jul 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
MFC 51871 Issued in CA
Practice address
3095 Independence Dr
Building B Suite a
Livermore, CA 94551-7629
Phone
(925) 443-3434
NPI assigned
Oct 10, 2011
Last updated
Jul 22, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X MFC 51871 CA Primary

Addresses

Primary practice location

3095 Independence Dr
Building B Suite a
Livermore, CA 94551-7629

Mailing address

208 Salamanca CT
San Ramon, CA 94583-2027
Phone (925) 866-0848

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
MFC 51871CAMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374451200000",
    "number": "1558645432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 SALAMANCA CT",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945832027",
            "telephone_number": "925-866-0848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3095 INDEPENDENCE DR",
            "address_2": "BUILDING B SUITE A",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945517629",
            "telephone_number": "925-443-3434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PILECKI",
        "first_name": "MARIA",
        "middle_name": "MAGNOLIA",
        "name_prefix": "Mrs.",
        "credential": "MS COUNSELING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-10",
        "last_updated": "2013-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "CA",
            "license": "MFC 51871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2013; 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.