Active NPI
Teresa Wace
- Counselor
- San Carlos, CA
National Provider Identifier
1891213393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 1303 San Carlos Avenue
San Carlos, CA 94070 - Phone
- (650) 542-6622
- NPI assigned
- Sep 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
1303 San Carlos Avenue
San Carlos, CA 94070
Mailing address
855 Jefferson Avenue, #3447
Redwood City, CA 94063-9992
Phone (650) 542-6622
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": "1504569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1891213393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 JEFFERSON AVENUE, #3447",
"city": "REDWOOD CITY",
"state": "CA",
"postal_code": "940639992",
"telephone_number": "650-542-6622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 SAN CARLOS AVENUE",
"city": "SAN CARLOS",
"state": "CA",
"postal_code": "94070",
"telephone_number": "650-542-6622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WACE",
"first_name": "TERESA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-05",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Carlos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.