Organization Active NPI

Untangled Minds, Licensed Marriage and Family Therapy, Professional Co

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1174348098
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
UNTANGLED MINDS, LICENSED MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CO
Doing business as
UnTangled Minds Therapy
Practice address
5250 Claremont Ave Ste 113
Stockton, CA 95207-5700
Phone
(209) 871-8666
NPI assigned
Nov 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Mrs. Yolanda Adkins-Hopkins, LMFTNPI 1093132094
Title
Ceo/Provider
Phone
(209) 871-8666

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
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

5250 Claremont Ave Ste 113
Stockton, CA 95207-5700

Mailing address

5250 Claremont Ave Ste 113
Stockton, CA 95207-5700
Phone (209) 871-8666

Other names 1

  • UnTangled Minds Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

5250 Claremont Ave
Ste 113
Stockton, CA 95207
Phone (209) 871-8666

Practitioners & affiliated clinicians

Practitioners 1

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": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1174348098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 CLAREMONT AVE STE 113",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075700",
            "telephone_number": "209-871-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 CLAREMONT AVE STE 113",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075700",
            "telephone_number": "209-871-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNTANGLED MINDS, LICENSED MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "ADKINS-HOPKINS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO/PROVIDER",
        "authorized_official_telephone_number": "209-871-8666",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "UnTangled Minds Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.