Organization Active NPI

Couples Institute Counseling Services a Marriage and Family Therapy Co

  • Mental Health Counselor
  • Menlo Park, CA
National Provider Identifier
1164052411
Registry record updated Jan 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
COUPLES INSTITUTE COUNSELING SERVICES A MARRIAGE AND FAMILY THERAPY CO
Practice address
3705 Haven Ave # 119
Menlo Park, CA 94025-1011
Phone
(650) 289-8603
NPI assigned
Jan 24, 2020
Last updated
Jan 24, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2020

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

Authorized official

Name
Stacy LeeNPI 1972756500
Title
Owner
Phone
(650) 308-9159

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 CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3705 Haven Ave # 119
Menlo Park, CA 94025-1011

Mailing address

3705 Haven Ave # 119
Menlo Park, CA 94025-1011
Phone (650) 289-8603

National Provider Directory

National Provider Directory

Locations

3705 Haven Ave
#119
Menlo Park, CA 94025
Phone (650) 289-8603

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1579824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579824000000",
    "number": "1164052411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3705 HAVEN AVE # 119",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251011",
            "telephone_number": "650-289-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 HAVEN AVE # 119",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251011",
            "telephone_number": "650-289-8603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUPLES INSTITUTE COUNSELING SERVICES A MARRIAGE AND FAMILY THERAPY CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-24",
        "last_updated": "2020-01-24",
        "certification_date": "2020-01-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "STACY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-308-9159"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2020; 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.