Organization Active NPI

Fulfilling Life's Purpose

  • Marriage & Family Therapist
  • Chico, CA
National Provider Identifier
1457133589
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FULFILLING LIFE'S PURPOSE
Practice address
2105 Forest Ave Ste 120
Chico, CA 95928-7695
Phone
(530) 855-0553
NPI assigned
Oct 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Authorized official

Name
Daedalys Wilson, LMFTNPI 1558565556
Title
LMFT
Phone
(530) 855-0553

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: 193200000X MULTI-SPECIALTY GROUP 106H00000X 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) 855-0553

National Provider Directory

National Provider Directory

Locations

2105 Forest Ave
Ste 120
Chico, CA 95928
Phone (530) 588-6797

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": "1697155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697155200000",
    "number": "1457133589",
    "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": "530-855-0553"
        },
        {
            "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": "530-855-0553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULFILLING LIFE'S PURPOSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-13",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-13",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "DAEDALYS",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "530-855-0553",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 13, 2023; 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.