Organization Active NPI

Asscoiation of Affirmative Lgbtq Marriage and Family Therapy

  • Mental Health Counselor
  • Palm Springs, CA
National Provider Identifier
1033890074
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ASSCOIATION OF AFFIRMATIVE LGBTQ MARRIAGE AND FAMILY THERAPY
Practice address
2510 N Whitewater Club Dr Unit B
Palm Springs, CA 92262-2660
Phone
(626) 367-1170
NPI assigned
Jul 31, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jason Churchill
Title
Ceo
Phone
(626) 367-1170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

2510 N Whitewater Club Dr Unit B
Palm Springs, CA 92262-2660

Mailing address

2510 N Whitewater Club Dr Unit B
Palm Springs, CA 92262-2660
Phone (626) 367-1170

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691452800000",
    "number": "1033890074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 N WHITEWATER CLUB DR UNIT B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622660",
            "telephone_number": "626-367-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 N WHITEWATER CLUB DR UNIT B",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622660",
            "telephone_number": "626-367-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSCOIATION OF AFFIRMATIVE LGBTQ MARRIAGE AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-31",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "626-367-1170"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.