Candice Thompson, MMFT, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC53361 Issued in CA

Practice address

1510 Fashion Island Blvd
Ste. 110
San Mateo, CA 94404-1596

Phone

(650) 264-9763

NPI assigned

Aug 29, 2013

Last updated

Jul 31, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Feb 24, 2024 through Feb 24, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564531200000",
    "number": "1699109322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944045043",
            "telephone_number": "650-264-9763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD",
            "address_2": "STE. 110",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041596",
            "telephone_number": "650-264-9763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "CANDICE",
        "name_prefix": "Mrs.",
        "credential": "MMFT, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2019-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC53361",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC53361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Dianne Thomas, M.A.
• Sarah Thomas
• Seth Thomas
• Stephanie Thomas
• Kandace Thompson McDonald
• Linda Marie Thompson, MFT
• Ebony Thorpe
• Three Angels Anesthesia Nursing Services Inc.
• Three Lotus Dragon Acupuncture Wellness Center PC (Dr. Jame'e Brazie'r L.A.c. DAOM)
• Thrifty Payless Inc (Rite Aid Pharmacy 05902)

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, 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 Jul 31, 2019; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.