MARIANA SANDOVAL
NPI 1558017715
Marriage & Family Therapist in Modesto, CA

Active since February 25, 2022PECOS Enrolled

NPPES record last updated: April 4, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Apr 4, 2022, Feb 25, 2022 (2 updates tracked since 2022).

About Mariana Sandoval NPPES

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

MARIANA SANDOVAL (NPI 1558017715) is an individual marriage & family therapist in Modesto, California and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1558017715
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMARIANA SANDOVAL
Location Address1101 M STModesto, CA 95354-0755
Mailing AddressPo Box 414Le Grand, CA 95333-0414
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateFebruary 25, 2022
Last NPPES UpdateApril 4, 20222 updates tracked since enumeration
NPPES CertifiedApril 4, 2022
NPI 1558017715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
1101 M ST, Modesto, CA 95354

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mariana Sandoval is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1951894054
PECOS Enrollment IDI20251205004411
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

Marriage & Family Therapist
1101 M ST
MODESTO, CA 95354
Marriage & Family Therapist
1101 M ST
MODESTO, CA 95354
Counselor (Professional)
1101 M ST
MODESTO, CA 95354
Marriage & Family Therapist
1101 M ST
MODESTO, CA 95354
Marriage & Family Therapist
1101 M ST
MODESTO, CA 95354
Student in an Organized Health Care Education/Training Program
1101 M ST
MODESTO, CA 95354
Counselor (Mental Health)
1101 M ST
MODESTO, CA 95354
Marriage & Family Therapist
1101 M ST
MODESTO, CA 95354

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 Mariana Sandoval's NPI number?

The NPI number for Mariana Sandoval is 1558017715. It was assigned to this individual provider in the NPPES registry on February 25, 2022.

Where is Mariana Sandoval located?

Mariana Sandoval practices at 1101 M St, Modesto, CA 95354. The listed phone number is (209) 552-9568.

What is Mariana Sandoval's specialty?

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

Is Mariana Sandoval enrolled in Medicare?

Yes. Mariana Sandoval is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mariana Sandoval was last updated on April 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.