Lynnis Mairena

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

120301 Issued in CA

Practice address

287 Lorton Ave
Burlingame, CA 94010-4203

Phone

(714) 787-7505

NPI assigned

Oct 13, 2017

Last updated

Oct 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Group practices

Lake County Tribal Health Consortium IncGroup PAC ID 8729975545, 42 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: lynnis.mairena.p1@direct.lcthc.nextgenshare.com

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.

• Lake County Tribal Health Consortium Inc.

  • Federally Qualified Health Center (FQHC)
  • Lakeport, CA
  • NPI 1881697381
  Medicare reassignment Care Compare group NPD
• Lake County Tribal Health Southshore Clinic

  • Federally Qualified Health Center (FQHC)
  • Clearlake, CA
  • NPI 1063158038
  NPD

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

{
    "created_epoch": "1507852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1558872846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800562",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913800562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 LORTON AVE",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940104203",
            "telephone_number": "714-787-7505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 W Palmdale Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Palmdale",
            "state": "CA",
            "postal_code": "935514230",
            "country_code": "US",
            "telephone_number": "661-272-4733",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25399 The Old Rd Apt 16106",
            "address_purpose": "LOCATION",
            "city": "Stevenson Ranch",
            "state": "CA",
            "postal_code": "913811654",
            "country_code": "US",
            "telephone_number": "602-677-0030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 Bevins Court",
            "address_purpose": "LOCATION",
            "city": "Lakeport",
            "state": "CA",
            "postal_code": "954539754",
            "country_code": "US",
            "telephone_number": "707-263-8383",
            "fax_number": "707-263-5019",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAIRENA",
        "first_name": "LYNNIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-13",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "120301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roma Magar
• Randolf Magat
• Tripti Mahendra
• Peggy Sue Mahlstedt, P.A.
• Angela Mahoney, FNP-C
• Samantha Adriane Mairena
• Janet Maldonado, M.D.
• Fawad Malik, MD
• Peter John Mandell, M.D.
• David Steven Marcus, M.D.

• Marriage & Family Therapist in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.