Active NPI
Mercy Maria Fausto, MA. LMFT
- Professional Counselor
- Stockton, CA
National Provider Identifier
1780246975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Practice address
- 1545 Saint Marks PLZ Ste 5
Stockton, CA 95207-6411 - Phone
- (209) 471-2617
- NPI assigned
- Jul 8, 2019
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1545 Saint Marks PLZ Ste 5
Stockton, CA 95207-6411
Mailing address
1545 Saint Marks PLZ Ste 5
Stockton, CA 95207-6411
Phone (209) 290-5771
Other names 1
- Ms. Mercy Maria Somera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1780246975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 SAINT MARKS PLZ STE 5",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076411",
"telephone_number": "209-290-5771"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 SAINT MARKS PLZ STE 5",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952076411",
"telephone_number": "209-471-2617"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUSTO",
"first_name": "MERCY",
"middle_name": "MARIA",
"name_prefix": "Mrs.",
"credential": "MA. LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-08",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MERCY",
"last_name": "SOMERA",
"middle_name": "MARIA",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.