MS. SOUA VANG MA
NPI 1942534110
Marriage & Family Therapist in Lathrop, CA

Active since September 21, 2009PECOS EnrolledAccepts Medicare Assignment
17000 S HARLAN RD, LATHROP, CA 95330(209) 647-7600 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 23, 2024, Sep 20, 2024, Jan 11, 2022 and 2 more (5 updates tracked since 2018).

About Ms. Soua Vang Ma NPPES

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

MS. SOUA VANG MA (NPI 1942534110) is an individual marriage & family therapist in Lathrop, California, licensed in California (122145) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1942534110
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. SOUA VANGCredential: MA
Location Address17000 S HARLAN RDLathrop, CA 95330-8738
Mailing Address388 March DrManteca, CA 95336-3219 · (530) 521-4643 · Fax (209) 758-0825
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 21, 2009
Last NPPES UpdateSeptember 23, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1942534110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License Licensed in CA · 122145
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 ListedBehavior AnalystTaxonomy 103K00000X
17000 S HARLAN RD, Lathrop, CA 95330

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

Ms. Soua Vang Ma 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 ID6608364187
PECOS Enrollment IDI20251024003709
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 12

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

Marriage & Family Therapist
17000 S HARLAN RD
LATHROP, CA 95330
Marriage & Family Therapist
17000 S HARLAN RD
LATHROP, CA 95330
Marriage & Family Therapist
17000 S HARLAN RD
LATHROP, CA 95330
Social Worker (Clinical)
17000 S HARLAN RD
LATHROP, CA 95330
Marriage & Family Therapist
17000 S HARLAN RD
LATHROP, CA 95330
Marriage & Family Therapist
17000 S HARLAN RD
LATHROP, CA 95330
Counselor (Addiction (Substance Use Disorder))
17000 S HARLAN RD
LATHROP, CA 95330
Marriage & Family Therapist
17000 S HARLAN RD
LATHROP, CA 95330

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 Soua Vang's NPI number?

The NPI number for Soua Vang is 1942534110. It was assigned to this individual provider in the NPPES registry on September 21, 2009.

Where is Soua Vang located?

Soua Vang practices at 17000 S Harlan Rd, Lathrop, CA 95330. The listed phone number is (209) 647-7600.

What is Soua Vang's specialty?

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

Is Soua Vang enrolled in Medicare?

Yes. Soua Vang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Soua Vang was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.