Organization Active NPI

Lineage & Legacy

  • Mental Health Counselor
  • East Palo Alto, CA
National Provider Identifier
1295410967
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LINEAGE & LEGACY
Practice address
2512 Farrington Way
East Palo Alto, CA 94303-1118
Phone
(408) 661-5795
Fax
(408) 608-3347
NPI assigned
Jun 20, 2023
Last updated
Jun 20, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
HELPING OTHERS MAINTAIN EARTH, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 20, 2023

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

Authorized official

Name
Tamara Smith-Jones, CPSS
Title
Confidante
Phone
(408) 661-5795

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU
Health Educator 174H00000X NU

Addresses

Primary practice location

2512 Farrington Way
East Palo Alto, CA 94303-1118

Mailing address

PO Box 51298
Palo Alto, CA 94303-0697
Phone (408) 661-5795

National Provider Directory

National Provider Directory
Tax ID family
Lineage Legacy2 organizations share this tax ID, including this one
Part of
Lineage Legacy

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1295410967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51298",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943030697",
            "telephone_number": "408-661-5795",
            "fax_number": "408-608-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 FARRINGTON WAY",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031118",
            "telephone_number": "408-661-5795",
            "fax_number": "408-608-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LINEAGE & LEGACY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HELPING OTHERS MAINTAIN EARTH, INC",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "SMITH-JONES",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_title_or_position": "CONFIDANTE",
        "authorized_official_telephone_number": "408-661-5795",
        "authorized_official_credential": "CPSS"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; 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.