EMMA MEFOM LCSW
NPI 1568072908
Counselor - Mental Health in Santa Clara, CA

Q: What is Emma Mefom's NPI number?

The NPI number for Emma Mefom is 1568072908. It was assigned to this individual provider in the NPPES registry on July 31, 2020.

Q: What is Emma Mefom's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Emma Mefom was last updated on January 3, 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.

Active since July 31, 2020PECOS EnrolledAccepts Medicare Assignment

3840 HOMESTEAD RD, SANTA CLARA, CA 95051(408) 851-4938 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2022, Jul 31, 2020 (2 updates tracked since 2020).

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About Emma Mefom Lcsw NPPES

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

EMMA MEFOM LCSW (NPI 1568072908) is an individual mental health provider in Santa Clara, California, licensed in California (94605) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1568072908

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameEMMA MEFOMCredential: LCSW

Location Address3840 HOMESTEAD RDSanta Clara, CA 95051-4542

Mailing Address300 Pasteur Dr Rm Hc 029Stanford, CA 94305-2200

Phone(408) 851-4938

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateJuly 31, 2020

Last NPPES UpdateJanuary 3, 20222 updates tracked since enumeration

NPPES CertifiedJuly 31, 2020

✔ NPI 1568072908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in CA · 94605

3840 HOMESTEAD RD, Santa Clara, CA 95051

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emma Mefom Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7315348067

PECOS Enrollment IDI20210701001564

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 18

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

STEPHANIE HELEN SCHULTZE PONCE

Marriage & Family Therapist