Individual provider Active NPI

Zakiya Starr Duviella

  • Marriage & Family Therapist
  • Vista, CA
National Provider Identifier
1659715712
Registry record updated Feb 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 97165 Issued in CA
Practice address
1020 S Santa Fe Avenue
Suite B-1
Vista, CA 92084-7000
Phone
(760) 305-8225
Fax
(760) 305-8232
NPI assigned
Apr 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF80376 CA
Marriage & Family Therapist 106H00000X LMFT 97165 CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1020 S Santa Fe Avenue
Suite B-1
Vista, CA 92084-7000

Mailing address

1020 S Santa Fe Ave
Suite B-1
Vista, CA 92084-7000
Phone (760) 305-8225

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

LicenseStateTypeSpecialty
IMF80376CAMDMarriage & Family Therapist
LMFT 97165CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Octave Behavioral Health PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1366329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487030400000",
    "number": "1659715712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 S SANTA FE AVE",
            "address_2": "SUITE B-1",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847000",
            "telephone_number": "760-305-8225",
            "fax_number": "760-305-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 S SANTA FE AVENUE",
            "address_2": "SUITE B-1",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920847000",
            "telephone_number": "760-305-8225",
            "fax_number": "760-305-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUVIELLA",
        "first_name": "ZAKIYA",
        "middle_name": "STARR",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-19",
        "last_updated": "2017-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF80376",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 97165",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2017; 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.