NPIMap

Organization Active NPI

Echo Rock Therapy Center, 501(C) 3

  • Marriage & Family Therapist
  • Mill Valley, CA
National Provider Identifier
1295015030
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
29744 Issued in CA
Legal business name
ECHO ROCK THERAPY CENTER, 501(C) 3
Practice address
45 Camino Alto
Suite 200
Mill Valley, CA 94941-2929
Phone
(415) 302-4858
Fax
(415) 737-1389
NPI assigned
Aug 25, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Victoria Vogel, MFTNPI 1437478690
Title
Owner
Phone
(415) 302-4858

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 29744 CA Primary

Addresses

Primary practice location

45 Camino Alto
Suite 200
Mill Valley, CA 94941-2929

Mailing address

45 Camino Alto
Suite 200
Mill Valley, CA 94941-2929
Phone (415) 302-4858

National Provider Directory

National Provider Directory
Tax ID family
Echo Rock Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

45 Camino Alto
Ste 200
Mill Valley, CA 94941
Phone (415) 302-9640

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": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1295015030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CAMINO ALTO",
            "address_2": "SUITE 200",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412929",
            "telephone_number": "415-302-4858",
            "fax_number": "415-737-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CAMINO ALTO",
            "address_2": "SUITE 200",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412929",
            "telephone_number": "415-302-4858",
            "fax_number": "415-737-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO ROCK THERAPY CENTER, 501(C) 3",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "VOGEL",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "415-302-4858",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "29744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.