Organization Active NPI

First Baptist Church of Lodi

  • Community/Behavioral Health Agency
  • Lodi, CA
National Provider Identifier
1326536632
Registry record updated Apr 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FIRST BAPTIST CHURCH OF LODI
Practice address
17 W Lockeford St
Lodi, CA 95240-2125
Phone
(209) 339-1616
NPI assigned
Apr 23, 2018
Organization subpart
Yes
Parent organization
FIRST BAPTIST CHURCH OF LODIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2018

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

Authorized official

Name
Alison McGregor, MFTNPI 1831756972
Title
Exec Dir One-Eighty Youth Programs
Phone
(209) 339-1616

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
School CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YS0200X 1425 CA
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X 101549 CA
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

17 W Lockeford St
Lodi, CA 95240-2125

Mailing address

17 W Lockeford St
Lodi, CA 95240-2125
Phone (209) 339-1616

Other names 1

  • One-Eighty Adolescent & Family Services Doing business as

National Provider Directory

National Provider Directory
Part of
First Baptist Church of Lodi

Locations

17 W Lockeford St
Lodi, CA 95240
Phone (209) 339-1616

Practitioners & affiliated clinicians

Practitioners 2

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": "1524441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524441600000",
    "number": "1326536632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 W LOCKEFORD ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402125",
            "telephone_number": "209-339-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W LOCKEFORD ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952402125",
            "telephone_number": "209-339-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST BAPTIST CHURCH OF LODI",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRST BAPTIST CHURCH OF LODI",
        "enumeration_date": "2018-04-23",
        "last_updated": "2018-04-23",
        "status": "A",
        "authorized_official_last_name": "MCGREGOR",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "EXEC DIR ONE-EIGHTY YOUTH PROGRAMS",
        "authorized_official_telephone_number": "209-339-1616",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101YS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, School",
            "state": "CA",
            "license": "1425",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "101549",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "One-Eighty Adolescent & Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2018; 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.