Organization Active NPI

Therawin Family Therapy Corp

  • Mental Health Counselor
  • Palo Alto, CA
National Provider Identifier
1407662133
Registry record updated Dec 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
THERAWIN FAMILY THERAPY CORP
Practice address
212 Homer Ave
Palo Alto, CA 94301-2722
Phone
(650) 620-4100
NPI assigned
Dec 7, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2024

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

Authorized official

Name
Geetanjali J Vij, LPCCNPI 1952900094
Title
Director
Phone
(925) 257-0797

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

212 Homer Ave
Palo Alto, CA 94301-2722

Mailing address

212 Homer Ave
Palo Alto, CA 94301-2722
Phone (650) 620-4100

Other names 1

  • TheraWin Health Doing business as

National Provider Directory

National Provider Directory

Locations

212 Homer Ave
Palo Alto, CA 94301
Phone (650) 209-0197

Practitioners & affiliated clinicians

Practitioners 1

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": "1733529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733529600000",
    "number": "1407662133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 HOMER AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012722",
            "telephone_number": "650-620-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 HOMER AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012722",
            "telephone_number": "650-620-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAWIN FAMILY THERAPY CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-07",
        "last_updated": "2024-12-07",
        "certification_date": "2024-12-06",
        "status": "A",
        "authorized_official_last_name": "VIJ",
        "authorized_official_first_name": "GEETANJALI",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "925-257-0797",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TheraWin Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.