Active NPI
Evolving Paths Therapy Marriage & Family Counseling Corporation
- Marriage & Family Therapist
- San Diego, CA
National Provider Identifier
1386406825
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- EVOLVING PATHS THERAPY MARRIAGE & FAMILY COUNSELING CORPORATION
- Practice address
- 10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648 - Phone
- (626) 636-3421
- NPI assigned
- Jan 30, 2024
- Last updated
- Feb 8, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latoya Desue, LMFT
- Title
- Ceo/Owner
- Phone
- (626) 636-3421
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NU | ||
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648
Mailing address
10174 Old Grove Rd Ste 110
San Diego, CA 92131-1648
Phone (626) 636-3421
National Provider Directory
National Provider DirectoryLocations
10174 Old Grove Rd
Ste 110
San Diego, CA 92131
Phone (805) 409-7457
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706572800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707350400000",
"number": "1386406825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10174 OLD GROVE RD STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311648",
"telephone_number": "626-636-3421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10174 OLD GROVE RD STE 110",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311648",
"telephone_number": "626-636-3421"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVOLVING PATHS THERAPY MARRIAGE & FAMILY COUNSELING CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-01-30",
"last_updated": "2024-02-08",
"certification_date": "2024-02-08",
"status": "A",
"authorized_official_last_name": "DESUE",
"authorized_official_first_name": "LATOYA",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "626-636-3421",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.