NPIMap

Organization Active NPI

Footsteps, a Licensed Clinical Social Worker Corporation

  • Mental Health Counselor
  • Clovis, CA
National Provider Identifier
1144720665
Registry record updated Jun 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FOOTSTEPS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
55 Shaw Ave Ste 115
Clovis, CA 93612
Phone
(559) 825-1324
Fax
(559) 408-5557
NPI assigned
Feb 21, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2019

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

Authorized official

Name
Arturo Reyes Ocampo, LCSWNPI 1366691453
Title
Ceo/Clinical Director
Phone
(559) 825-1324

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

55 Shaw Ave Ste 115
Clovis, CA 93612

Mailing address

PO Box 1424
Clovis, CA 93613-1424
Phone (559) 825-1324

Other names 4

  • Footsteps Doing business as
  • Footsteps Children & Family Services Doing business as
  • Footsteps Family Services Doing business as
  • Edna Health Former legal business name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1519171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1144720665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1424",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936131424",
            "telephone_number": "559-825-1324",
            "fax_number": "559-408-5557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SHAW AVE STE 115",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "93612",
            "telephone_number": "559-825-1324",
            "fax_number": "559-408-5557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTSTEPS, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-21",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "REYES OCAMPO",
        "authorized_official_first_name": "ARTURO",
        "authorized_official_title_or_position": "CEO/CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "559-825-1324",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Footsteps",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Footsteps Children & Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Footsteps Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Footsteps Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Edna Health",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.