Organization Active NPI

Cognitive Behavior Therapy Center Adult & Counseling, Inc.

  • Marriage & Family Therapist
  • Campbell, CA
National Provider Identifier
1376815829
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC-48807 Issued in CA
Legal business name
COGNITIVE BEHAVIOR THERAPY CENTER ADULT & COUNSELING, INC.
Practice address
900 E. Hamilton Ave,
Suite 100
Campbell, CA 95008
Phone
(408) 384-8404
Fax
(408) 608-0484
NPI assigned
Jan 30, 2012
Organization subpart
Yes
Parent organization
COGNITIVE BEHAVIOR THERAPY CENTER, ADULT ANDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Laura LC Johnson, LMFT/LPCCNPI 1144534645
Title
Center Director/Owner
Phone
(408) 384-8404

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC-48807 CA Primary

Addresses

Primary practice location

900 E. Hamilton Ave,
Suite 100
Campbell, CA 95008

Mailing address

900 E. Hamilton Ave,
Suite 100
Campbell, CA 95008
Phone (408) 384-8404

Other names 1

  • Cognitive Behavior Therapy Center Other name

National Provider Directory

National Provider Directory
Part of
Cognitive Behavior Therapy Center Adult Counseling Inc

Locations

1221 Pleasant Grove Blvd
Ste 150
Roseville, CA 95678
Phone (916) 765-4779

12961 Village Dr
Ste C
Saratoga, CA 95070
Phone (408) 384-8404

Practitioners & affiliated clinicians

Practitioners 3

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": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1376815829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E. HAMILTON AVE,",
            "address_2": "SUITE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-384-8404",
            "fax_number": "408-608-0484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E. HAMILTON AVE,",
            "address_2": "SUITE 100",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "95008",
            "telephone_number": "408-384-8404",
            "fax_number": "408-608-0484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COGNITIVE BEHAVIOR THERAPY CENTER ADULT & COUNSELING, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COGNITIVE BEHAVIOR THERAPY CENTER, ADULT AND",
        "enumeration_date": "2012-01-30",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LC",
        "authorized_official_title_or_position": "CENTER DIRECTOR/OWNER",
        "authorized_official_telephone_number": "408-384-8404",
        "authorized_official_credential": "LMFT/LPCC"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC-48807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cognitive Behavior Therapy Center",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Cognitive Behavior Therapy Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; 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.