Family Counseling of Elk Grove

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

27778 Issued in CA

Legal business name

FAMILY COUNSELING OF ELK GROVE

Practice address

8920 Emerald Park Dr
Suite a
Elk Grove, CA 95624-2380

Phone

(916) 512-5447

Fax

(916) 721-2447

NPI assigned

Dec 13, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Daphne Daphne, LCSW

Title

Owner/Therapist

Phone

(916) 512-5447

Specialties & licenses 1

Addresses

Other identifiers 5

Locations

Practitioners 2

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

• Christine Robin Heredia, MASTERS

  • Marriage & Family Therapist
  • Elk Grove, CA
  • NPI 1528476512

  Mental Health

  NPD (past)
• Daphne Lynn McKinnon, MSW, LCSW

  • Clinical Social Worker
  • Logan, UT
  • NPI 1548376742

  Mental Health

  NPD (past)

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481587200000",
    "number": "1295279099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 EMERALD PARK DR",
            "address_2": "SUITE A",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242380",
            "telephone_number": "916-512-5447",
            "fax_number": "916-721-2447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8920 EMERALD PARK DR",
            "address_2": "SUITE A",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242380",
            "telephone_number": "916-512-5447",
            "fax_number": "916-721-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY COUNSELING OF ELK GROVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A",
        "authorized_official_last_name": "DAPHNE",
        "authorized_official_first_name": "DAPHNE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "916-512-5447",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "27778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "0001225635",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BEACON HEALTH",
            "identifier": "816846",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "600800791",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "006-0204718",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF CALIFORNIA",
            "identifier": "100159241001",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• F&E Inspired Enterprises (Beacon Support Homes)
• Jasmin Xitlali Facio
• Skylar Fagalnifin
• David B Fahn
• Xuan Vu Falah, PHARM.D.
• Albert Fang, PHARM.D.
• Alisha Fang
• Kyle Fardanesh
• Nahla Farghalli, MD
• Alexander J Farinha

• Mental Health Counselor in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.