NPIMap

Organization Active NPI

Familiy Service of San Leandro

  • Professional Counselor
  • San Leandro, CA
National Provider Identifier
1376636118
Registry record updated Sep 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
FAMILIY SERVICE OF SAN LEANDRO
Doing business as
Family Service Counseling & Community Resource Center
Practice address
2208 San Leandro Blvd
San Leandro, CA 94577-5957
Phone
(510) 483-6715
Fax
(510) 483-6719
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2019

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

Authorized official

Name
Diana Morales
Title
Office Manager
Phone
(510) 483-6715

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X

Addresses

Primary practice location

2208 San Leandro Blvd
San Leandro, CA 94577-5957

Mailing address

2208 San Leandro Blvd
San Leandro, CA 94577-5957
Phone (510) 483-6715

Other names 2

  • Family Service Counseling & Community Resource Center Doing business as
  • Family Service of San Leandro Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL behively.org Other

National Provider Directory

National Provider Directory
Tax ID family
Family Service Counseling Community Resource Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567555200000",
    "number": "1376636118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2208 SAN LEANDRO BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775957",
            "telephone_number": "510-483-6715",
            "fax_number": "510-483-6719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2208 SAN LEANDRO BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945775957",
            "telephone_number": "510-483-6715",
            "fax_number": "510-483-6719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILIY SERVICE OF SAN LEANDRO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2019-09-04",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "510-483-6715"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "behively.org",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Company Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Informational",
            "address_1": "2208 San Leandro Blvd",
            "city": "San Leandro",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945775957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Family Service Counseling & Community Resource Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Family Service of San Leandro",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.