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Lauren Bactad

Counselor, Mental Health in San Mateo, CA. Individual provider (NPI-1).

NPI number1669997177
StatusActive
Last updated in NPPESAug 4, 2017

Details

NPI
1669997177
Entity type
Individual (NPI-1)
Name
Lauren Bactad
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 4, 2017
Last updated
Aug 4, 2017

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

2600 S El Camino Real
San Mateo, CA 94403-2380

Phone 650-393-8905

Mailing address

2600 S El Camino Real
San Mateo, CA 94403-2380

Phone 650-393-8905

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Mental Health Counselor providers in San Mateo, CA

All 186 Mental Health Counselor providers in San Mateo · All 4,655 providers in San Mateo

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