Individual provider Active NPI

Suzanne Marie Dito, LMFT

  • Marriage & Family Therapist
  • San Mateo, CA
National Provider Identifier
1851984132
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
145843 Issued in CA
Practice address
307 S B St
San Mateo, CA 94401-4053
Phone
(650) 223-5605
NPI assigned
Feb 17, 2021
Last updated
Mar 27, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 123977 CA
Marriage & Family Therapist 106H00000X 145843 CA Primary

Addresses

Primary practice location

307 S B St
San Mateo, CA 94401-4053

Mailing address

3118 Divisadero St
San Francisco, CA 94123-3204
Phone (415) 246-2254

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241203003380 CA Practitioner - Marriage and Family Therapist 8325574114 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Izzo Marriage and Family Therapy PCGroup PAC ID 5092249490, 4 clinicians

Practice addresses (Care Compare)

10 El Camino Rd
San Carlos, CA 94070-3914
Phone (650) 223-5605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
145843CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Izzo Marriage & Family Therapy PC CurrentSince Sep 27, 2024 Accepting new patients

Locations

10 El Camino Real
San Carlos, CA 94070
Phone (650) 223-5605

307 S B St
San Mateo, CA 94401
Phone (650) 204-0479

307 S B St
Ste 4
San Mateo, CA 94401
Phone (650) 223-5605

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1851984132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 DIVISADERO ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941233204",
            "telephone_number": "415-246-2254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 S B ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944014053",
            "telephone_number": "650-223-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DITO",
        "first_name": "SUZANNE",
        "middle_name": "MARIE",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-17",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "123977",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "145843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.