Integrated Therapies, a Family Counseling Corporation

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MCF31725 Issued in CA

Legal business name

INTEGRATED THERAPIES, A FAMILY COUNSELING CORPORATION

Practice address

20601 US Highway 18 Ste 158
Apple Valley, CA 92307-3567

Phone

(760) 946-2804

Fax

(760) 946-0378

NPI assigned

Jan 2, 2007

Last updated

Sep 16, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Debra Nystrom, MFTNPI 1982724027

Title

President

Phone

(760) 946-2804

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Debra Nystrom, MFT

  • Mental Health Counselor
  • Apple Valley, CA
  • NPI 1982724027
  NPD Authorized official
• Henry Hans Bjorn Ahlstrom, PH.D.

  • Clinical Psychologist
  • Atascadero, CA
  • NPI 1619945870
  NPD (past)

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1285791954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20258 HWY 18",
            "address_2": "SUITE 430-449",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92307",
            "telephone_number": "760-946-2804",
            "fax_number": "760-946-0378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20601 US HIGHWAY 18 STE 158",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923073567",
            "telephone_number": "760-946-2804",
            "fax_number": "760-946-0378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED THERAPIES, A FAMILY COUNSELING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "NYSTROM",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-946-2804",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MCF31725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.