Active NPI
Mary W Van Riper, LMFT, LPCC
- Marriage & Family Therapist
- Los Altos, CA
National Provider Identifier
1558839605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 100837
- Practice address
- 851 Fremont Ave Ste 106
Los Altos, CA 94024-5602 - Phone
- (650) 935-5715
- NPI assigned
- Nov 7, 2018
- Last updated
- Aug 22, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 9935 | CA | |
| Marriage & Family Therapist | 106H00000X | 100837 | CA | Primary |
Addresses
Primary practice location
851 Fremont Ave Ste 106
Los Altos, CA 94024-5602
Mailing address
851 Fremont Ave Ste 106
Los Altos, CA 94024-5602
Phone (650) 935-5715
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100837 | Other | CA | BBS MFT LICENSE NUMBER |
| 9935 | Other | CA | BBS PCC LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 3, 2024 through Jan 3, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661126400000",
"number": "1558839605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 FREMONT AVE STE 106",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245602",
"telephone_number": "650-935-5715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 FREMONT AVE STE 106",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940245602",
"telephone_number": "650-935-5715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAN RIPER",
"first_name": "MARY",
"middle_name": "W",
"name_prefix": "Ms.",
"credential": "LMFT, LPCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-07",
"last_updated": "2022-08-22",
"certification_date": "2022-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "9935",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "100837",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS MFT LICENSE NUMBER",
"identifier": "100837",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BBS PCC LICENSE NUMBER",
"identifier": "9935",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Altos, CA
- Eugene Sanborn Urbain, PH.D.
- Uroviu Corporation
- Maria Claire Vahle-Klein, LMFT
- Valley Chiropractic Office of Rachel Frozenfar DC PC
- Valley Chiropractic Office of Rachel Frozenfar DC PC
- Camilla Niles Van Voorhees, M.D.
- Anna Varnayeva
- Sheena Vaswani, DDS
- Veena H Kuppalli (Veenas Histology Lab)
- Nitun Verma, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.