Active NPI
Healing Strides Psychotherapy, Inc.
- Counseling Psychologist
- Blue Lake, CA
National Provider Identifier
1124400155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- PSY27263
- Legal business name
- HEALING STRIDES PSYCHOTHERAPY, INC.
- Practice address
- PO Box 1006
Blue Lake, CA 95525-1006 - Phone
- (707) 845-8737
- NPI assigned
- Jun 26, 2015
- 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
- Dr. Terri Elana Jennings, PH.D.
- Title
- President
- Phone
- (707) 845-8737
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 |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | PSY27263 | CA | Primary |
Addresses
Primary practice location
PO Box 1006
Blue Lake, CA 95525-1006
Mailing address
PO Box 1006
Blue Lake, CA 95525-1006
Phone (707) 845-8737
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2906 F St
Unit 6860
Eureka, CA 95502
Phone (707) 845-8737
Practitioners & affiliated clinicians
Practitioners 5
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.
-
- Psychologist
- Blue Lake, CA
- NPI 1568611861
-
- Clinical Social Worker
- Arcata, CA
- NPI 1245855105
-
- Marriage & Family Therapist
- Arcata, CA
- NPI 1952098485
-
- Clinical Social Worker
- Blue Lake, CA
- NPI 1518640861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435276800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1566172800000",
"number": "1124400155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1006",
"city": "BLUE LAKE",
"state": "CA",
"postal_code": "955251006",
"telephone_number": "707-845-8737"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1006",
"city": "BLUE LAKE",
"state": "CA",
"postal_code": "955251006",
"telephone_number": "707-845-8737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING STRIDES PSYCHOTHERAPY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-26",
"last_updated": "2019-08-19",
"status": "A",
"authorized_official_last_name": "JENNINGS",
"authorized_official_first_name": "TERRI",
"authorized_official_middle_name": "ELANA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-845-8737",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY27263",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; 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.