Active NPI
Placido Salazar
- Mental Health Counselor
- San Rafael, CA
National Provider Identifier
1881879377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 914 Mission Ave
San Rafael, CA 94901-6106 - Phone
- (415) 456-9350
- Fax
- (415) 456-1508
- NPI assigned
- Jan 3, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
914 Mission Ave
San Rafael, CA 94901-6106
Mailing address
20 Forest Ave. (P. O. Box 243)
Forest Knolls, CA 94933
Phone (415) 456-9350
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199318400000",
"number": "1881879377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 FOREST AVE. (P. O. BOX 243)",
"city": "FOREST KNOLLS",
"state": "CA",
"postal_code": "94933",
"telephone_number": "415-456-9350",
"fax_number": "415-456-1508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "914 MISSION AVE",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949016106",
"telephone_number": "415-456-9350",
"fax_number": "415-456-1508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALAZAR",
"first_name": "PLACIDO",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-01-03",
"last_updated": "2008-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.