Dulce Ivancko

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

143804 Issued in CA

Practice address

700 Frederick St Ste 103
Santa Cruz, CA 95062-2239

Phone

(831) 996-1222

Fax

(831) 417-0443

NPI assigned

Dec 29, 2023

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• New Perspectives Center for Counseling

  • Marriage & Family Therapist
  • Santa Cruz, CA
  • NPI 1588498455
  NPD
• Shine a Light Counseling Center, Inc

  • Community/Behavioral Health Agency
  • Watsonville, CA
  • NPI 1689058349
  NPD

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

{
    "created_epoch": "1703808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1942079074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 FREDERICK ST STE 103",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622239",
            "telephone_number": "831-996-1222",
            "fax_number": "831-417-0443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1010 Cass St",
            "address_purpose": "LOCATION",
            "city": "Monterey",
            "state": "CA",
            "postal_code": "939404515",
            "country_code": "US",
            "telephone_number": "831-996-1222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVANCKO",
        "first_name": "DULCE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-29",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "143804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Ismail
• Jennifer Ismail
• Ismilespa, Inc.
• Carolyn Trupti Israel, M.C.A.T., D.T.R.
• Ronald M. Israel, M.D.
• Yelena Ivanenko
• Sergei Ivashura
• Anna B Iversen, MS, LMFT
• Stephanie Iwanciow, BCBA - 1-13-14784
• Benjamin Arieh Izenberg

• Marriage & Family Therapist in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.