Matthew O'Brien McNichol, LMFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT142991 Issued in CA

Practice address

851 Cherry Ave # 2722
San Bruno, CA 94066-2900

Phone

(650) 245-4867

NPI assigned

Jun 21, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1720604267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "851 CHERRY AVE # 2722",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662900",
            "telephone_number": "650-245-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 CHERRY AVE # 2722",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940662900",
            "telephone_number": "650-245-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNICHOL",
        "first_name": "MATTHEW",
        "middle_name": "O'BRIEN",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-21",
        "last_updated": "2023-12-04",
        "certification_date": "2021-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT142991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret McKee, P.T.
• Nina McKee
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• Sharon Elisabeth McMillan
• Kisanet Mebrahtu
• Angelica Medina
• Raul Medina
• Sheila Nabeel Medina
• Payam Mehraban

• Mental Health Counselor in San Bruno, CA
• Providers in San Bruno, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.