STARVISTA (NPI# 1467507392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467507392 |
| Entity Type | Organization |
| Organization Name | STARVISTA |
| Other Organization Name | YOUTH AND FAMILY ENRICHMENT SERVICES |
| Practice Address |
610 Elm St Suite 212 San Carlos CA 94070-8401 |
| Practice Telephone | 6505919623 |
| Mailing Telephone | (650) 591-9623 |
| Mailing Fax Number | 6505914163 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2018-03-17 |
| Authorized Official Name | LILLIAN DOHERTY (HUMAN RESOURCES MANAGER) |
| Authorized Official Telephone | 6505919623 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Youth and Family Enrichment Services | Former Legal Business Name - Organization |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1021 S El Camino Real, San Mateo, CA 944022801 | 6505919623 | 6505914163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013439264 | Starvista | Community/Behavioral Health | 1590 El Camino Real Ste J, San Bruno, CA 94066-5377 | 2017-07-10 |
| 1093095150 | Starvista | Community/Behavioral Health | 609 Price Ave Ste 201, Redwood City, CA 94063-1403 | 2011-08-22 |
| 1912285735 | Starvista | Community/Behavioral Health | 826 Mahler Rd, Burlingame, CA 94010-1604 | 2011-07-27 |
| 1194929638 | Starvista | Counselor | 700 S Claremont St Ste 110, San Mateo, CA 94402-1447 | 2007-06-11 |
| 1013439942 | Starvista | Community/Behavioral Health | 333 Gellert Blvd Ste 206, Daly City, CA 94015-2659 | 2017-07-12 |
| 1861914756 | Starvista | Community/Behavioral Health | 1720 S Amphlett Blvd Ste 123, San Mateo, CA 94402-2710 | 2017-07-12 |
| 1992227144 | Starvista | Community/Behavioral Health | 480 Manor Plz, Pacifica, CA 94044-1839 | 2017-07-10 |
| 1194194142 | Starvista | Community/Behavioral Health | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2015-09-21 |
| 1972970499 | Starvista | Community/Behavioral Health | 610 Elm St, Suite 212, San Carlos, CA 94070-8401 | 2015-09-01 |
| 1821376641 | Starvista | Community/Behavioral Health | 609 Price Ave, Redwood City, CA 94063-1463 | 2011-07-27 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | StarVista Management LLC | 8260 Willow Oaks Corporate Dr, Ste 500, Fairfax, Virginia 22031 |
| Colorado Business Entities | Starvista, Inc. | 1 Blue Sage, Littleton, CO 80127 |
| Street Address |
610 ELM ST SUITE 212 |
| City | SAN CARLOS |
| State | CA |
| Zip Code | 94070-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312738 | Maria Colima-jimenez | Counselor | 610 Elm St, San Carlos, CA 94070-8401 | 2020-10-06 |
| 1902389422 | Amy Ruddle Shohet | Social Worker | 610 Elm St, San Carlos, CA 94070-8401 | 2018-09-11 |
| 1861972598 | Hannah Rose Banks | Counselor | 610 Elm St, San Carlos, CA 94070-8401 | 2018-08-21 |
| 1568954113 | Sita-marie Kalyani Pillay | Student in an Organized Health Care Education/Training Program | 610 Elm St, San Carlos, CA 94070-8401 | 2018-05-30 |
| 1760991103 | David Martin Hoekenga | Counselor | 610 Elm St, San Carlos, CA 94070-8401 | 2017-09-28 |
| 1437606431 | Marybeth Lorence | Counselor | 610 Elm St, Ste 212, San Carlos, CA 94070-8401 | 2016-09-07 |
| 1376090514 | Kimberley Miller | Counselor | 610 Elm St, Suite 212, San Carlos, CA 94070-8401 | 2016-09-06 |
| 1457808693 | Kristina Swiderski | Counselor | 610 Elm St, Suite 212, San Carlos, CA 94070-8401 | 2016-09-06 |
| 1326595562 | Sara Edwards | Counselor | 610 Elm St, #212, San Carlos, CA 94070-8401 | 2016-09-06 |
| 1851847800 | Michelle Feldman | Counselor | 610 Elm St, San Carlos, CA 94070-8401 | 2016-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669943189 | Regina Rayz | Community Health Worker | Edgewood Center, 957 Industrial Rd B, San Carlos, CA 94070 | 2018-12-10 |
| 1275026668 | Zhimiao Wang | Acupuncturist | 1608 Laurel St, San Carlos, CA 94070 | 2018-06-11 |
| 1922508324 | Erica Garica Romero | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2018-02-13 |
| 1619482429 | Yicheng Han | Counselor | 527 Hillcrest Rd., San Carlos, CA 94070 | 2017-12-04 |
| 1679082192 | Enrique Francisco Delgado | Counselor | 610 Elm St. #212, San Carlos, CA 94070 | 2017-09-27 |
| 1871011379 | Melanie Schug | Counselor | 610 Elm Street, Suite 212, San Carlos, CA 94070 | 2017-09-05 |
| 1891213393 | Teresa Wace | Counselor | 1303 San Carlos Avenue, San Carlos, CA 94070 | 2017-09-05 |
| 1437671344 | Ana Garcia | Counselor | 957 Industrial Road, Suite B, San Carlos, CA 94070 | 2017-07-12 |
| 1629527825 | Annette Waters | Speech-Language Pathologist | 1017 Cedar St, San Carlos, CA 94070 | 2016-09-28 |
| 1962831297 | Kathleen Lauren Mcspadden | Marriage & Family Therapist | 1303 San Carlos Ave., San Carlos, CA 94070 | 2013-11-07 |
| Find all providers in zip 94070 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174013965 | Unity Care Group, Inc. | Community/Behavioral Health | 151 Old County Rd, San Carlos, CA 94070-6246 | 2018-05-16 |
| 1821586686 | San Carlos Apache Tribe | Community/Behavioral Health | San Carlos Social Services, 7 San Carlos Avenue, San Carlos, AZ 85550 | 2018-04-27 |
| 1750456307 | San Carlos Apache Tribe | Community/Behavioral Health | #5 San Carlos Ave, San Carlos, AZ 85550-9999 | 2006-11-21 |
| 1043761182 | San Carlos Apache Wellness Center | Community/Behavioral Health | 5 San Carlos Ave, San Carlos, AZ 85550 | 2016-10-24 |
| 1275084899 | Starvista Girls Program | Community/Behavioral Health | 335 Quarry Rd, San Carlos, CA 94070-6217 | 2016-10-19 |
| 1336504802 | One Life Counseling Center | Community/Behavioral Health | 1303 San Carlos Ave, San Carlos, CA 94070-2317 | 2015-12-28 |
| 1194194142 | Starvista | Community/Behavioral Health | 610 Elm St Ste 212, San Carlos, CA 94070-3070 | 2015-09-21 |
| 1972970499 | Starvista | Community/Behavioral Health | 610 Elm St, Suite 212, San Carlos, CA 94070-8401 | 2015-09-01 |
| 1770862344 | County of San Mateo | Community/Behavioral Health | 550 Quarry Rd, 3rd Floor, San Carlos, CA 94070-6221 | 2011-08-12 |
| 1457662892 | Starvista Women's Enrichment Center | Community/Behavioral Health | 335 Quarry Rd, San Carlos, CA 94070-6217 | 2010-06-30 |
| Find all providers in SAN CARLOS | ||||
| City | SAN CARLOS |
| Zip Code | 94070 |
Please comment or provide details below to improve the information on STARVISTA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.