Individual provider Active NPI

Virginia Wollrich Lincoln, LMFT

  • Marriage & Family Therapist
  • Mission Hills, CA
National Provider Identifier
1639847908
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
77749 Issued in CA
Practice address
15545 Devonshire St Ste 208
Mission Hills, CA 91345-2638
Phone
(818) 383-2727
Fax
(818) 360-8558
NPI assigned
Sep 1, 2021
Last updated
Sep 1, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 2891-R NV
Marriage & Family Therapist 106H00000X 77749 CA Primary

Addresses

Primary practice location

15545 Devonshire St Ste 208
Mission Hills, CA 91345-2638

Mailing address

11711 Babbitt Ave
Granada Hills, CA 91344-2438
Phone (818) 383-2727

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ihelphearts@earthlink.net Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240205002782 CA Practitioner - Marriage and Family Therapist 7012350234 Practice locations: Mission Hills, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

15545 Devonshire St
Suite 208
Mission Hills, CA 91345-2638
Phone (818) 383-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
77749CAMDMarriage & Family Therapist
2891-RNVMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1630454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1639847908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11711 BABBITT AVE",
            "city": "GRANADA HILLS",
            "state": "CA",
            "postal_code": "913442438",
            "telephone_number": "818-383-2727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15545 DEVONSHIRE ST STE 208",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "913452638",
            "telephone_number": "818-383-2727",
            "fax_number": "818-360-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINCOLN",
        "first_name": "VIRGINIA",
        "middle_name": "WOLLRICH",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-01",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "2891-R",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "77749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ihelphearts@earthlink.net",
            "affiliation": "N",
            "endpointDescription": "e-mail address to contact me.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "15545 Devonshire St Ste 208",
            "city": "Mission Hills",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913452638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mission Hills, CA

Sources for this page

Verify at the official NPI Registry.