Active NPI
TLC Child and Family Services
- Mental Health Counselor
- Santa Rosa, CA
National Provider Identifier
1285433516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- TLC CHILD AND FAMILY SERVICES
- Practice address
- 821 Mendocino Ave
Santa Rosa, CA 95401-4805 - Phone
- (369) 210-7476
- NPI assigned
- Mar 10, 2025
- 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
- Susan Fette
- Title
- Ceo
- Phone
- (707) 823-7300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
821 Mendocino Ave
Santa Rosa, CA 95401-4805
Mailing address
1800 Hwy 116 N
Sebastopol, CA 95472-2607
Phone (707) 823-7300
National Provider Directory
National Provider DirectoryPractitioners & 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": "1741564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741564800000",
"number": "1285433516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1800 HWY 116 N",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954722607",
"telephone_number": "707-823-7300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 MENDOCINO AVE",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954014805",
"telephone_number": "369-210-7476"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TLC CHILD AND FAMILY SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-10",
"last_updated": "2025-03-10",
"certification_date": "2025-03-10",
"status": "A",
"authorized_official_last_name": "FETTE",
"authorized_official_first_name": "SUSAN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "707-823-7300"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.