Organization Active NPI

La Paz Counseling & Therapy Services

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1316630114
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LA PAZ COUNSELING & THERAPY SERVICES
Practice address
3108 W Hammer LN Ste B
Stockton, CA 95209-2752
Phone
(209) 440-0143
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Authorized official

Name
Ms. Imelda Donato, LPCCNPI 1194278085
Title
Founder
Phone
(209) 440-0143

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3108 W Hammer LN Ste B
Stockton, CA 95209-2752

Mailing address

PO Box 693133
Stockton, CA 95269-3133
Phone (209) 440-0143

National Provider Directory

National Provider Directory

Locations

3108 W Hammer Ln
Ste B
Stockton, CA 95209
Phone (209) 440-0143

Practitioners & 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": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685404800000",
    "number": "1316630114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693133",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952693133",
            "telephone_number": "209-440-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 W HAMMER LN STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092752",
            "telephone_number": "209-440-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LA PAZ COUNSELING & THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A",
        "authorized_official_last_name": "DONATO",
        "authorized_official_first_name": "IMELDA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "209-440-0143",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.