The Private Practice of Maria Geney Villavicencio - LMFT

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

51316 Issued in CA

Legal business name

THE PRIVATE PRACTICE OF MARIA GENEY VILLAVICENCIO - LMFT

Practice address

1139 San Carlos Ave Ste 307
San Carlos, CA 94070-2450

Phone

(650) 353-7430

Fax

(650) 331-3517

NPI assigned

Mar 19, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Maria Eugenia Vincello

Title

Owner

Phone

(650) 353-7430

Specialties & licenses 1

Addresses

Other names 1

• Maria Eugenia Vincello Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Geney Villavicencio, LICENSED MFT

  • Marriage & Family Therapist
  • San Carlos, CA
  • NPI 1336328897
  NPD

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1739318400000",
    "number": "1669833570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 HAMILTON AVE # 511",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943022407",
            "telephone_number": "650-353-7430",
            "fax_number": "650-331-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1139 SAN CARLOS AVE STE 307",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702450",
            "telephone_number": "650-353-7430",
            "fax_number": "650-331-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PRIVATE PRACTICE OF MARIA GENEY VILLAVICENCIO - LMFT",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-19",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A",
        "authorized_official_last_name": "VINCELLO",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "EUGENIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-353-7430",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "51316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maria Eugenia Vincello",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sam H Tellez, CAADE
• Suzanne Tennis, R.D., DR.H.SC.
• Sherri Terao, ED.D.
• Jisselle Tercero
• Evelyn Thai, CNC, BCHN
• The Valiant Jacobs Chiropractic Corp
• Alyson Thiel
• Phyu Phyu Thin, DIPL. OM, L.AC.
• Ellen J Thomas, MS, CGC
• Jared Ryan Thomas

• Point of Service in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.