MARYLYNN VICE LMFT - NPI 1083185029 - Marriage & Family Therapist in Livermore, CA

Q: What is Marylynn Vice's NPI number?

The NPI number for Marylynn Vice is 1083185029. It was assigned to this individual provider in the NPPES registry on December 17, 2018.

Q: What is Marylynn Vice's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: Is Marylynn Vice enrolled in Medicare?

No. Marylynn Vice has opted out of Medicare through January 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Marylynn Vice was last updated on January 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Marylynn Vice Lmft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARYLYNN VICE LMFT (NPI 1083185029) is an individual marriage & family therapist in Livermore, California, licensed in California (110258) and active in the NPI registry since December 2018. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1083185029

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMARYLYNN VICECredential: LMFT

Location Address1062 MURRIETA BLVDLivermore, CA 94550-4111

Mailing Address1062 Murrieta BlvdLivermore, CA 94550-4111 · (925) 337-1805

Phone(925) 337-1805

Sole ProprietorYes

Enumeration DateDecember 17, 2018

Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2023

✔ NPI 1083185029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 110258

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

1062 MURRIETA BLVD, Livermore, CA 94550

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Marylynn Vice Lmft has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2024 through January 1, 2028.

Opt-Out Effective DateJanuary 1, 2024

Opt-Out In Effect ThroughJanuary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HOLLY HAMBRICK

Marriage & Family Therapist