Organization Active NPI

Step by Step Family Therapy Professional Corporation

  • Marriage & Family Therapist
  • Palmdale, CA
National Provider Identifier
1053026625
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
STEP BY STEP FAMILY THERAPY PROFESSIONAL CORPORATION
Practice address
190 Sierra CT Ste C4
Palmdale, CA 93550-7609
Phone
(661) 463-0496
NPI assigned
Jan 18, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Authorized official

Name
Daisy De Jesus, LMFT 109995NPI 1275878159
Title
Ceo
Phone
(818) 388-0093

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

190 Sierra CT Ste C4
Palmdale, CA 93550-7609

Mailing address

3533 Lariat Way
Acton, CA 93510-1244
Phone (818) 388-0093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250424003017 CA Part B Supplier - Clinic/Group Practice 9436675287 Receives reassigned benefits from 1 practitioner
Practice locations: Palmdale, CA

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": "1674000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747785600000",
    "number": "1053026625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3533 LARIAT WAY",
            "city": "ACTON",
            "state": "CA",
            "postal_code": "935101244",
            "telephone_number": "818-388-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT STE C4",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507609",
            "telephone_number": "661-463-0496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP BY STEP FAMILY THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-18",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A",
        "authorized_official_last_name": "DE JESUS",
        "authorized_official_first_name": "DAISY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-388-0093",
        "authorized_official_credential": "LMFT 109995"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.