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1063181428 NPI number — REIKA DAWN FAUST LMFT, LPCC

NPI Number: 1063181428
Health Care Provider/Practitioner: REIKA DAWN FAUST LMFT, LPCC

Information about “1063181428” NPI (REIKA DAWN FAUST LMFT, LPCC) exists in 1063181428 in HTML format HTML  |  1063181428 in plain Text format TXT  |  1063181428 in PDF (Portable Document Format) PDF  |  1063181428 in an XML format XML  formats.

NPI Number : 1063181428 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1063181428",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "FAUST",
    "FirstName": "REIKA",
    "MiddleName": "DAWN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT, LPCC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "HOWARD",
    "OtherFirstName": "REIKA",
    "OtherMiddleName": "DAWN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1303 SAN CARLOS AVE",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SAN CARLOS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "94070-2317",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "156-463-9834",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "491 FERNWOOD DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN BRUNO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "94066-1944",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "650-201-5840",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "09/09/2021",
    "LastUpdateDate": "04/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YM0800X",
          "TaxonomyName": "Mental Health Counselor",
          "LicenseNumber": "14684",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "107036",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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