Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MAKENNA TWISSELMAN
NPI 1679236004
Marriage & Family Therapist in San Carlos, CA

Q: What is Makenna Twisselman's NPI number?

The NPI number for Makenna Twisselman is 1679236004. It was assigned to this individual provider in the NPPES registry on October 21, 2021.

Q: What is Makenna Twisselman's specialty?

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

Active since October 21, 2021

1303 SAN CARLOS AVE, SAN CARLOS, CA 94070(650) 740-5461 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 17, 2026, Sep 4, 2024, Oct 21, 2021 (3 updates tracked since 2021).

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About Makenna Twisselman NPPES

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

MAKENNA TWISSELMAN (NPI 1679236004) is an individual marriage & family therapist in San Carlos, California, licensed in California (164929) and active in the NPI registry since October 2021. She maintains a secondary practice location in Redwood City.

NPPES Registry Identity

NPI1679236004

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMAKENNA TWISSELMAN

Location Address1303 SAN CARLOS AVESan Carlos, CA 94070-2317

Mailing Address1303 San Carlos AveSan Carlos, CA 94070-2317

Phone(650) 740-5461

Sole ProprietorNo

Enumeration DateOctober 21, 2021

Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration

NPPES CertifiedAugust 17, 2026

✔ NPI 1679236004 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 164929

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.

Also ListedCounselorTaxonomy 101Y00000X · License 23467 (CA)

Also ListedCommunity Health WorkerTaxonomy 172V00000X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1303 SAN CARLOS AVE, San Carlos, CA 94070

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Secondary Practice Location 1

Location 1248 Redwood AveRedwood City, CA 94061-3074 · Phone (650) 839-1076

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.

TERESA BRUZZO AMFT

Counselor (Mental Health)