Individual provider Active NPI

Mayola L. R. Pierro, MFTI

  • Marriage & Family Therapist
  • Palmdale, CA
National Provider Identifier
1770946386
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
125191 Issued in CA
Practice address
2231 E Palmdale Blvd Ste K
Palmdale, CA 93550-1326
Phone
(661) 824-5020
Fax
(661) 824-5026
NPI assigned
Mar 31, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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 IMF 85004 CA
Case Manager/Care Coordinator 171M00000X
Marriage & Family Therapist 106H00000X 125191 CA Primary

Addresses

Primary practice location

2231 E Palmdale Blvd Ste K
Palmdale, CA 93550-1326

Mailing address

2231 E Palmdale Blvd Ste K
Palmdale, CA 93550-1326
Phone (661) 824-5020

Other practice location 1

16940 Highway 14
Mojave, CA 93501-1238
Phone (661) 824-5020

Other identifiers 1

IdentifierTypeStateIssuer
125191MedicaidCA

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
125191CAMDMarriage & Family Therapist
IMF 85004CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Clarvida PastSince Feb 1, 2020 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": "1459382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1770946386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 E PALMDALE BLVD STE K",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501326",
            "telephone_number": "661-824-5020",
            "fax_number": "661-824-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 E PALMDALE BLVD STE K",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935501326",
            "telephone_number": "661-824-5020",
            "fax_number": "661-824-5026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16940 Highway 14",
            "address_purpose": "LOCATION",
            "city": "Mojave",
            "state": "CA",
            "postal_code": "935011238",
            "country_code": "US",
            "telephone_number": "661-824-5020",
            "fax_number": "661-824-5026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PIERRO",
        "first_name": "MAYOLA",
        "middle_name": "L. R.",
        "name_prefix": "Miss",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-31",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 85004",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "125191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125191",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.