Active NPI
Trent Wright
- Mental Health Counselor
- Burlingame, CA
National Provider Identifier
1669928610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 345 Lorton Ave Ste 104
Burlingame, CA 94010-4134 - Phone
- (650) 460-4341
- NPI assigned
- Aug 30, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
345 Lorton Ave Ste 104
Burlingame, CA 94010-4134
Mailing address
1417 Bernal Ave
Burlingame, CA 94010-5559
Phone (650) 460-4341
Other practice location 1
610 Elm St Ste 212
San Carlos, CA 94070-3070
Phone (650) 591-9623
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Apr 29, 2024 through Apr 29, 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": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667174400000",
"number": "1669928610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1417 BERNAL AVE",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940105559",
"telephone_number": "650-460-4341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 LORTON AVE STE 104",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940104134",
"telephone_number": "650-460-4341"
}
],
"practiceLocations": [
{
"address_1": "610 Elm St Ste 212",
"address_purpose": "LOCATION",
"city": "San Carlos",
"state": "CA",
"postal_code": "940703070",
"country_code": "US",
"telephone_number": "650-591-9623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WRIGHT",
"first_name": "TRENT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-30",
"last_updated": "2022-10-31",
"certification_date": "2022-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Burlingame, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.