Patricia Mickens, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1092 Sierra Vista Way
Lafayette, CA 94549-3158

Phone

(925) 808-9532

NPI assigned

Feb 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675296000000",
    "number": "1790481539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1092 SIERRA VISTA WAY",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493158",
            "telephone_number": "925-808-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 SIERRA VISTA WAY",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493158",
            "telephone_number": "925-808-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICKENS",
        "first_name": "PATRICIA",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-02",
        "last_updated": "2023-02-02",
        "certification_date": "2023-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosalia Allan Mendoza, MD
• William Thomas Merriman, D.C.
• Michael Minzenberg, MD, a Medical Corporation (California Neuromodulation Institute)
• Andrew Michaels, PH.D.
• Mary Roy Michaels, MFT
• Mary Lou Mied, PH.D.
• Maya Millar
• Annelise Nystrom Miller
• Aubrey Miller
• Stefan Mitosinka

• Mental Health Counselor in Lafayette, CA
• Providers in Lafayette, 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 Feb 2, 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.