MS. LILIAN ELIZABETH RECINOS-VIDES (NPI# 1497013809) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497013809 |
| Entity Type | Individual |
| Full Name | MS. LILIAN ELIZABETH RECINOS-VIDES |
| Practice Address |
2251 Palm Ave San Mateo CA 94403-1814 |
| Practice Telephone | 6505136500 |
| Mailing Telephone | 6505136500 |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CA | Behavioral Health & Social Service Providers | |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Street Address |
2251 PALM AVE |
| City | SAN MATEO |
| State | CA |
| Zip Code | 94403-1814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689961617 | Horizon Services, Incorporated | Substance Abuse Rehabilitation Facility | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2011-06-28 |
| 1316586431 | Jenny Marie Bresee | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2020-01-06 |
| 1942798939 | Allen Randle Jr. | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2018-04-25 |
| 1538660675 | Joshua Shargel | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2018-02-23 |
| 1306345574 | Angela Rose Ball | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2018-02-02 |
| 1831605294 | Frank Ruano | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2017-12-21 |
| 1659809549 | Gordon Kevin Ford Jr. | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2017-05-23 |
| 1578921177 | Pete Ponce | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2016-02-10 |
| 1013344142 | Glenn West IIi | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2013-10-03 |
| 1619303146 | William Little | Counselor | 2251 Palm Ave, San Mateo, CA 94403-1814 | 2013-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710520903 | Happy Enerqi LLC | Acupuncturist | 5 43rd Ave, San Mateo, CA 94403 | 2019-10-21 |
| 1740840396 | Vincent Wing Ching Fong | Marriage & Family Therapist | 2600 S. El Camino Real Suite 200, San Mateo, CA 94403 | 2019-06-17 |
| 1861056426 | Denise Gaytan | Licensed Vocational Nurse | 2600 El Camino, San Mateo, CA 94403 | 2019-04-29 |
| 1134686991 | Connie Markoff | Counselor | 3827 Fernwood St, San Mateo, CA 94403 | 2019-02-27 |
| 1467965392 | Happyqi Inc | Acupuncturist | 5 43rd Ave., San Mateo, CA 94403 | 2017-11-14 |
| 1710403092 | John Luu | Chiropractor | 3153 Campus Dr, San Mateo, CA 94403 | 2017-08-17 |
| 1477009033 | Latifunisa Lilani | Community Health Worker | 2600 El Camino Real, San Mateo, CA 94403 | 2016-09-01 |
| 1881029874 | Juan Carlos Friesen | Licensed Vocational Nurse | 2600 S. El Camino, Suite #200, San Mateo, CA 94403 | 2013-09-09 |
| 1619300423 | Emily Rodda | Nurse Practitioner | 222 W. 39th Avenue, San Mateo Medical Center - Pediatric Clinic, San Mateo, CA 94403 | 2013-08-15 |
| 1619309549 | Maria Lucila Echeverria-bustios | Counselor | 1911 Ivy St., San Mateo, CA 94403 | 2013-08-02 |
| Find all providers in zip 94403 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366004855 | Doaa Mohamed Abdelrahman | Counselor | 126 W 25th Ave # 200, San Mateo, CA 94403-2208 | 2019-07-03 |
| 1629555644 | Dorcas Gaines | Counselor | 226 De Anza Blvd, San Mateo, CA 94402-3913 | 2018-07-23 |
| 1417443755 | Suen Leung | Counselor | 800 Edinburgh St, San Mateo, CA 94402 | 2018-07-10 |
| 1104321165 | Maria Del Rosario Martinez | Counselor | 225 37th Ave Fl 3er, San Mateo, CA 94403-4324 | 2018-03-29 |
| 1407308539 | Rob Mcilvoy | Counselor | 526 S Eldorado St, San Mateo, CA 94402-1328 | 2016-10-24 |
| 1831644624 | Rodney Wg Roddewig | Counselor | 205 S Ellsworth Ave Apt 106, San Mateo, CA 94401-4076 | 2016-08-22 |
| 1427409507 | Callie Deeann Palmer | Counselor | 1650 S Amphlett Blvd Ste 113, San Mateo, CA 94402-2514 | 2016-06-29 |
| 1033566252 | Vivian Koroluk | Counselor | 803 S Grant St, San Mateo, CA 94402-1413 | 2016-05-17 |
| 1720442452 | Jamie Holden | Counselor | 1510 Fashion Island Blvd #110, San Mateo, CA 94404-1596 | 2016-04-08 |
| 1386000701 | Geraldine Punzalan | Counselor | 1670 S Amphlett Blvd Ste 15, San Mateo, CA 94402-2510 | 2016-01-14 |
| Find all providers in SAN MATEO | ||||
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| 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.