NPIMap

Organization Active NPI

Family Tree Wellness, Inc

  • Mental Health Counselor
  • Campbell, CA
National Provider Identifier
1467091793
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
FAMILY TREE WELLNESS, INC
Practice address
46 N 2ND St
Campbell, CA 95008-2026
Phone
(408) 345-5572
NPI assigned
Jan 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Authorized official

Name
Jessica Sorci, LMFTNPI 1780078410
Title
Founding Director
Phone
(408) 345-5572

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Addresses

Primary practice location

46 N 2ND St
Campbell, CA 95008-2026

Mailing address

46 N 2ND St
Campbell, CA 95008-2026
Phone (408) 345-5572

National Provider Directory

National Provider Directory

Locations

46 N 2nd St
Campbell, CA 95008
Phone (408) 345-5572

431 Monterey Ave
Ste 7
Los Gatos, CA 95030
Phone (215) 667-8883

Practitioners & affiliated clinicians

Practitioners 11

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": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636934400000",
    "number": "1467091793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 N 2ND ST",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082026",
            "telephone_number": "408-345-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 N 2ND ST",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950082026",
            "telephone_number": "408-345-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A",
        "authorized_official_last_name": "SORCI",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "FOUNDING DIRECTOR",
        "authorized_official_telephone_number": "408-345-5572",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Campbell, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.