NPIMap

Organization Active NPI

Barbara Israels, Marriage Family Therapist, Inc.

  • Mental Health Counselor
  • Modesto, CA
National Provider Identifier
1457971178
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BARBARA ISRAELS, MARRIAGE FAMILY THERAPIST, INC.
Practice address
3300 Tully Rd Ste C1
Modesto, CA 95350-0849
Phone
(209) 522-4164
Fax
(209) 529-2282
NPI assigned
Apr 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Authorized official

Name
Barbara IsraelsNPI 1255481404
Title
President
Phone
(209) 522-4164

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

3300 Tully Rd Ste C1
Modesto, CA 95350-0849

Mailing address

3300 Tully Rd Ste C1
Modesto, CA 95350-0849
Phone (209) 522-4164

National Provider Directory

National Provider Directory

Locations

3300 Tully Rd
Ste C1
Modesto, CA 95350
Phone (209) 522-4164

Practitioners & affiliated clinicians

Practitioners 3

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": "1587513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587513600000",
    "number": "1457971178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 TULLY RD STE C1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500849",
            "telephone_number": "209-522-4164",
            "fax_number": "209-529-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 TULLY RD STE C1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953500849",
            "telephone_number": "209-522-4164",
            "fax_number": "209-529-2282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA ISRAELS, MARRIAGE FAMILY THERAPIST, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A",
        "authorized_official_last_name": "ISRAELS",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-522-4164"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.