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VICTORIA L TIBBETTS MFT
NPI 1255488425
Counselor - Mental Health in Pleasanton, CA

Active since January 03, 2007Opted out of Medicare · through Jan 1, 2028
4487 STONERIDGE DR STE 103, PLEASANTON, CA 94588(252) 712-4239(925) 484-3045 Get Directions Write a Review

NPPES record last updated: January 14, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 14, 2020, Dec 19, 2018, May 16, 2016 (3 updates tracked since 2016).

About Victoria L Tibbetts Mft NPPES

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

VICTORIA L TIBBETTS MFT (NPI 1255488425) is an individual mental health provider in Pleasanton, California, licensed in California (MFC34498) and active in the NPI registry since January 2007. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1255488425
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameVICTORIA L TIBBETTSCredential: MFT
Location Address4487 STONERIDGE DR STE 103Pleasanton, CA 94588-8326
Mailing Address4487 Stoneridge Dr Ste 103Pleasanton, CA 94588-8326 · (925) 271-2423 · Fax (925) 484-3045
Phone(252) 712-4239
Fax(925) 484-3045
Sole ProprietorYes
Enumeration DateJanuary 3, 2007
Last NPPES UpdateJanuary 14, 20203 updates tracked since enumeration
✔ NPI 1255488425 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · MFC34498
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC34498 (CA)
4487 STONERIDGE DR STE 103, Pleasanton, CA 94588
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Victoria L Tibbetts Mft 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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Victoria Tibbetts's NPI number?

The NPI number for Victoria Tibbetts is 1255488425. It was assigned to this individual provider in the NPPES registry on January 3, 2007.

Where is Victoria Tibbetts located?

Victoria Tibbetts practices at 4487 Stoneridge Dr Ste 103, Pleasanton, CA 94588. The listed phone number is (252) 712-4239.

What is Victoria Tibbetts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Victoria Tibbetts enrolled in Medicare?

No. Victoria Tibbetts 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.

When was this NPI record last updated?

The NPPES record for Victoria Tibbetts was last updated on January 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.