NPIMap

Organization Active NPI

Free at Last Center

  • Counselor
  • East Palo Alto, CA
National Provider Identifier
1063849735
Registry record updated Sep 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
410027IN Issued in CA
Legal business name
FREE AT LAST CENTER
Practice address
1796 Bay Rd
East Palo Alto, CA 94303-1611
Phone
(650) 462-6999
Fax
(650) 462-1055
NPI assigned
Sep 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2013

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

Authorized official

Name
Elizabeth ChewningNPI 1992552475
Title
Program Administration
Phone
(650) 462-6995

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X 410027IN CA Primary
Community/Behavioral Health Agency 251S00000X 410027IN CA

Addresses

Primary practice location

1796 Bay Rd
East Palo Alto, CA 94303-1611

Mailing address

1796 Bay Rd
East Palo Alto, CA 94303-1611
Phone (650) 462-6999

Other identifiers 1

IdentifierTypeStateIssuer
410027INOtherREHABILITATION SERVICES

National Provider Directory

National Provider Directory
Tax ID family
Free at Last Center4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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": "1380153600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380153600000",
    "number": "1063849735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1796 BAY RD",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031611",
            "telephone_number": "650-462-6999",
            "fax_number": "650-462-1055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1796 BAY RD",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031611",
            "telephone_number": "650-462-6999",
            "fax_number": "650-462-1055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREE AT LAST CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-26",
        "last_updated": "2013-09-26",
        "status": "A",
        "authorized_official_last_name": "CHEWNING",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATION",
        "authorized_official_telephone_number": "650-462-6995"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": "410027IN",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "410027IN",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REHABILITATION SERVICES",
            "identifier": "410027IN",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2013; 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.