Active NPI
Psychotherapist Coach a Marriage and Family Therapist Corporation
- Marriage & Family Therapist
- South San Francisco, CA
National Provider Identifier
1114704228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- PSYCHOTHERAPIST COACH A MARRIAGE AND FAMILY THERAPIST CORPORATION
- Practice address
- 534 Avalon Dr
South San Francisco, CA 94080-5558 - Phone
- (805) 807-3574
- Fax
- (415) 614-4206
- NPI assigned
- Sep 12, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Lynndal K Daniels, MA, LMFT
- Title
- Ceo/President
- Phone
- (415) 712-2328
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
534 Avalon Dr
South San Francisco, CA 94080-5558
Mailing address
534 Avalon Dr
South San Francisco, CA 94080-5558
Phone (415) 712-2328
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- South San Francisco, CA
- NPI 1568853463
-
- Marriage & Family Therapist
- South San Francisco, CA
- NPI 1861361479
-
- Marriage & Family Therapist
- Los Angeles, CA
- NPI 1194584771
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694476800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761955200000",
"number": "1114704228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "534 AVALON DR",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805558",
"telephone_number": "415-712-2328",
"fax_number": "650-392-2043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "534 AVALON DR",
"city": "SOUTH SAN FRANCISCO",
"state": "CA",
"postal_code": "940805558",
"telephone_number": "805-807-3574",
"fax_number": "415-614-4206"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PSYCHOTHERAPIST COACH A MARRIAGE AND FAMILY THERAPIST CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2023-09-12",
"last_updated": "2025-11-01",
"certification_date": "2025-11-01",
"status": "A",
"authorized_official_last_name": "DANIELS",
"authorized_official_first_name": "LYNNDAL",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "415-712-2328",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MA, LMFT"
},
"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 South San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.