Organization Active NPI

North Valley Marriage and Family Counseling, Inc.

Doing business as North Valley Counseling

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1417414285
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
NORTH VALLEY MARRIAGE AND FAMILY COUNSELING, INC.
Doing business as
North Valley Counseling
Practice address
2105 Forest Ave Ste 120
Chico, CA 95928-7695
Phone
(530) 828-8235
NPI assigned
Feb 27, 2019
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Mr. Clifford Loren Jacobson Jr., LMFT
Title
Ceo
Phone
(530) 828-8235

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

2105 Forest Ave Ste 120
Chico, CA 95928-7695

Mailing address

2105 Forest Ave Ste 120
Chico, CA 95928-7695
Phone (530) 828-8235

Other identifiers 1

IdentifierTypeStateIssuer
1356533285MedicaidCA

Other names 1

  • North Valley Counseling Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1417414285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 FOREST AVE STE 120",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287695",
            "telephone_number": "530-828-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2105 FOREST AVE STE 120",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287695",
            "telephone_number": "530-828-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY MARRIAGE AND FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "LOREN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "530-828-8235",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356533285",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Valley Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.