North State Family Counseling Center Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

NORTH STATE FAMILY COUNSELING CENTER INC

Practice address

2628 Victor Ave Ste A2
Redding, CA 96002-1454

Phone

(530) 378-4855

NPI assigned

Sep 12, 2022

Organization subpart

No

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

Authorized official

Name

Mrs. Raechel Lynne Callejo, LMFTNPI 1013435130

Title

Ceo

Phone

(530) 378-4855

Specialties & licenses 3

Addresses

Other names 1

• Avida Counseling Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Raechel Lynne Callejo, LMFT, APCC

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1013435130

  CA, Professional

  Medicare reassignment NPD Authorized official
• Robyn Nekoa Palmer-Davidson

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1396634143
  NPD
• Aimee Stroup

  • Marriage & Family Therapist
  • Redding, CA
  • NPI 1699346684
  NPD (past)

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762214400000",
    "number": "1194446773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE A2",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "530-450-2673",
            "fax_number": "530-237-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2628 VICTOR AVE STE A2",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960021454",
            "telephone_number": "530-378-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH STATE FAMILY COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A",
        "authorized_official_last_name": "CALLEJO",
        "authorized_official_first_name": "RAECHEL",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-378-4855",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avida Counseling Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Andrew Norman, DDS
• Andrew S Norman, DDS
• Tracy Ann Norman, RN
• North Point Community Services
• North State Cancer Specialty Inc
• North State Social Work & Psychotherapy Services Inc a Licen
• North State Surgery Centers LP
• North State Surgery Centers, LP
• North Valley Breast Clinic
• North Valley Developmental Services Inc

• All providers in Redding, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; 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.

Verify at the official NPI Registry.