NPIMap

Organization Active NPI

LDS Family Services

Doing business as LDS Family Services CA Fountain Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fountain Valley, CA
National Provider Identifier
1104906098
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services CA Fountain Valley
Practice address
17350 Mount Herrmann St
Suite a
Fountain Valley, CA 92708-4114
Phone
(714) 444-3463
Fax
(714) 444-1768
NPI assigned
Oct 16, 2006
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mr. Todd Hunter Huisken, MFTNPI 1417024407
Title
Director
Phone
(714) 444-3463

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X CA Primary

Addresses

Primary practice location

17350 Mount Herrmann St
Suite a
Fountain Valley, CA 92708-4114

Mailing address

17350 Mount Herrmann St
Suite a
Fountain Valley, CA 92708-4114
Phone (714) 444-3463

Other names 1

  • LDS Family Services CA Fountain Valley Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Donald R Egginton LCSW46 organizations share this tax ID, including this one
Part of
Donald R Egginton LCSW

Other organizations with this tax ID 45

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

  • LDS Family Services

    dba LDS Family Services Van Nuys Office

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Mission Hills, CA
    • NPI 1225233828
    NPD tax ID
  • LDS Family Services

    dba LDS Family Services CA Colton

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Colton, CA
    • NPI 1386765345
    NPD tax ID
  • LDS Family Services

    dba LDS Family Services CA San Jose

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • San Jose, CA
    • NPI 1457476475
    NPD tax ID
  • LDS Family Services

    dba LDS Family Services CA Fresno Agency

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Fresno, CA
    • NPI 1518185891
    NPD tax ID
  • LDS Family Services

    dba LDS Family Services CA Sacramento

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Sacramento, CA
    • NPI 1548385560
    NPD tax ID
  • LDS Family Services

    dba LDS Family Services CA San Diego

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • San Diego, CA
    • NPI 1710069281
    NPD tax ID
  • LDS Family Services

    dba LDS family Services CA Concord

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Concord, CA
    • NPI 1942325972
    NPD tax ID
  • Latter Day Saints Family Services
    • Community/Behavioral Health Agency
    • Springville, UT
    • NPI 1013263524
    NPD tax ID
  • LDS Family Services

    dba LDS Family Services WA Seattle Agency

    • Public Health or Welfare Agency
    • Renton, WA
    • NPI 1003847187
    NPD tax ID
  • LDS Family Services

    dba LDS Family Services ID Twin Falls

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Twin Falls, ID
    • NPI 1013122563
    NPD tax ID
  • LDS Family Services

    dba LDS Family Services Michigan Agency

    • Community/Behavioral Health Agency
    • Farmington Hills, MI
    • NPI 1033249933
    NPD tax ID
  • LDS Family Services

    dba LDS Family Service Maryland Agency

    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Frederick, MD
    • NPI 1033381892
    NPD tax ID
View all 45

Locations

17350 Mount Herrmann St
Ste A
Fountain Valley, CA 92708
Phone (714) 444-3463

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1104906098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17350 MOUNT HERRMANN ST",
            "address_2": "SUITE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084114",
            "telephone_number": "714-444-3463",
            "fax_number": "714-444-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17350 MOUNT HERRMANN ST",
            "address_2": "SUITE A",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927084114",
            "telephone_number": "714-444-3463",
            "fax_number": "714-444-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2006-10-16",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "HUISKEN",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "HUNTER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "714-444-3463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services CA Fountain Valley",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.