LDS Family Services

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

LDS FAMILY SERVICES

Doing business as

LDS Family Services CA San Jose

Practice address

6840 Via del Oro
Suite 225
San Jose, CA 95119-1357

Phone

(408) 361-0133

Fax

(408) 361-0132

NPI assigned

Mar 20, 2007

Last updated

Jan 12, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

LDS FAMILY SERVICESAs reported in NPPES

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

Authorized official

Name

Kenneth B. Stewart

Title

Counseling Group Manager

Phone

(916) 682-6530

Specialties & licenses 1

Addresses

Other names 1

• LDS Family Services CA San Jose Doing business as

Tax ID family

LDS Family Services46 organizations share this tax ID, including this one

Part of

LDS Family Services

Other organizations with this tax ID 45

Organizations that report the same tax identification number in the National Provider Directory.

• LDS Family Services

  dba LDS Family Services CA Fountain Valley

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fountain Valley, CA
  • NPI 1104906098
  NPD tax ID
• LDS Family Services

  dba LDS Family Services Van Nuys Office

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mission Hills, CA
  • NPI 1225233828
  NPD tax ID
• LDS Family Services

  dba LDS Family Services CA Colton

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Colton, CA
  • NPI 1386765345
  NPD tax ID
• LDS Family Services

  dba LDS Family Services CA Fresno Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fresno, CA
  • NPI 1518185891
  NPD tax ID
• LDS Family Services

  dba LDS Family Services CA Sacramento

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Sacramento, CA
  • NPI 1548385560
  NPD tax ID
• LDS Family Services

  dba LDS Family Services CA San Diego

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1710069281
  NPD tax ID
• LDS Family Services

  dba LDS family Services CA Concord

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Concord, CA
  • NPI 1942325972
  NPD tax ID
• Latter Day Saints Family Services

  • Community/Behavioral Health Agency
  • Springville, UT
  • NPI 1013263524
  NPD tax ID
• LDS Family Services

  dba LDS Family Services WA Seattle Agency

  • Public Health or Welfare Agency
  • Renton, WA
  • NPI 1003847187
  NPD tax ID
• LDS Family Services

  dba LDS Family Services ID Twin Falls

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Twin Falls, ID
  • NPI 1013122563
  NPD tax ID
• LDS Family Services

  dba LDS Family Services Michigan Agency

  • Community/Behavioral Health Agency
  • Farmington Hills, MI
  • NPI 1033249933
  NPD tax ID
• LDS Family Services

  dba LDS Family Service Maryland Agency

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Frederick, MD
  • NPI 1033381892
  NPD tax ID

Locations

Practitioners 2

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.

• Soren Koldewyn, LMFT

  • Marriage & Family Therapist
  • Cupertino, CA
  • NPI 1043361942
  NPD (past)
• Emily Macfarlane, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
  • NPI 1790122513
  NPD (past)

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263254400000",
    "number": "1457476475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 VIA DEL ORO",
            "address_2": "SUITE 225",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191357",
            "telephone_number": "408-361-0133",
            "fax_number": "408-361-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 VIA DEL ORO",
            "address_2": "SUITE 225",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951191357",
            "telephone_number": "408-361-0133",
            "fax_number": "408-361-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-03-20",
        "last_updated": "2010-01-12",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "COUNSELING GROUP MANAGER",
        "authorized_official_telephone_number": "916-682-6530"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services CA San Jose",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in San Jose, CA
• Providers in San Jose, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2010; 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.