MS. JUDITH AMELIA VICK MFC
NPI 1629125331
Marriage & Family Therapist in Arroyo Grande, CA

Q: What is Judith Vick's NPI number?

The NPI number for Judith Vick is 1629125331. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Q: What is Judith Vick's specialty?

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

Q: Is Judith Vick enrolled in Medicare?

No. Judith Vick has opted out of Medicare through February 12, 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 Judith Vick was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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 January 04, 2007Opted out of Medicare · through Feb 12, 2028

1086 E GRAND AVE, ARROYO GRANDE, CA 93420(805) 474-2039 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Judith Amelia Vick Mfc NPPES

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

MS. JUDITH AMELIA VICK MFC (NPI 1629125331) is an individual marriage & family therapist in Arroyo Grande, California, licensed in California (MFC 38604) and active in the NPI registry since January 2007. She has opted out of Medicare through February 12, 2028.

NPPES Registry Identity

NPI1629125331

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. JUDITH AMELIA VICKCredential: MFC

Location Address1086 E GRAND AVEArroyo Grande, CA 93420-2505

Mailing Address1086 E Grand AveArroyo Grande, CA 93420-2505 · (805) 474-2039

Phone(805) 474-2039

Sole ProprietorNo

Enumeration DateJanuary 4, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1629125331 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 · MFC 38604

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.

1086 E GRAND AVE, Arroyo Grande, CA 93420

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Ms. Judith Amelia Vick Mfc 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 February 12, 2024 through February 12, 2028.

Opt-Out Effective DateFebruary 12, 2024

Opt-Out In Effect ThroughFebruary 12, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 14

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

TOM LACHAPELLE

Marriage & Family Therapist