Healthcare Provider Details

I. General information

NPI: 1174910129
Provider Name (Legal Business Name): VERA KUGEL LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1503 GRANT RD
MOUNTAIN VIEW CA
94040-3292
US

IV. Provider business mailing address

1274 CUERNAVACA CIRCULO
MOUNTAIN VIEW CA
94040-3546
US

V. Phone/Fax

Practice location:
  • Phone: 408-261-7777
  • Fax: 408-642-6052
Mailing address:
  • Phone: 408-568-0542
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number81037
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number81037
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: