Organization Active NPI

Evolving Paths Therapy Marriage & Family Counseling Corporation

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1386406825
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Latoya Desue, LMFTNPI 1386119766
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.