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TINA MIZUKAMI MFT
NPI 1922548759
Marriage & Family Therapist in San Mateo, CA

Active since February 27, 2017Opted out of Medicare · through Jan 1, 2028
2041 PIONEER CT STE 203, SAN MATEO, CA 94403(415) 820-9696 Get Directions Write a Review

NPPES record last updated: February 27, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tina Mizukami Mft NPPES

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

TINA MIZUKAMI MFT (NPI 1922548759) is an individual marriage & family therapist in San Mateo, California, licensed in California (86242) and active in the NPI registry since February 2017. She has opted out of Medicare through January 1, 2028.

NPPES Registry Identity

NPI1922548759
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameTINA MIZUKAMICredential: MFT
Location Address2041 PIONEER CT STE 203San Mateo, CA 94403-1729
Mailing Address2041 Pioneer Ct Ste 203San Mateo, CA 94403-1729 · (415) 820-9696
Phone(415) 820-9696
Sole ProprietorYes
Enumeration DateFebruary 27, 2017
✔ NPI 1922548759 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 · 86242
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.
2041 PIONEER CT STE 203, San Mateo, CA 94403
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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

Tina Mizukami 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

Other Providers at the Same Location NPPES

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

MS. SARAH THERESE HARKNESS
Counselor (Mental Health)
2041 PIONEER CT STE 203
SAN MATEO, CA 94403
San Mateo County (415) 572-9217

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 Tina Mizukami's NPI number?

The NPI number for Tina Mizukami is 1922548759. It was assigned to this individual provider in the NPPES registry on February 27, 2017.

Where is Tina Mizukami located?

Tina Mizukami practices at 2041 Pioneer Ct Ste 203, San Mateo, CA 94403. The listed phone number is (415) 820-9696.

What is Tina Mizukami's specialty?

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

Is Tina Mizukami enrolled in Medicare?

No. Tina Mizukami 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 Tina Mizukami was last updated on February 27, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.