Active NPI
Mayola L. R. Pierro, MFTI
- Marriage & Family Therapist
- Palmdale, CA
National Provider Identifier
1770946386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 125191
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125191 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 125191 | CA | MD | Marriage & Family Therapist |
| IMF 85004 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clarvida | Past | 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.
-
- Day Training/Habilitation Specialist
- Mojave, CA
- NPI 1134073679
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.