Organization Active NPI

M&M Family Counseling Services

  • Community/Behavioral Health Agency
  • Lodi, CA
National Provider Identifier
1477809689
Registry record updated Jul 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
38325 Issued in CA
Legal business name
M&M FAMILY COUNSELING SERVICES
Practice address
1213 W Lockeford St
Lodi, CA 95240-1635
Phone
(209) 327-0588
Fax
(209) 367-8563
NPI assigned
Jul 25, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2012

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

Authorized official

Name
Mr. Malcolm Andrew Berean, MA
Title
LMFT
Phone
(209) 327-0588

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 38325 CA Primary
Community/Behavioral Health Agency 251S00000X 38326 CA

Addresses

Primary practice location

1213 W Lockeford St
Lodi, CA 95240-1635

Mailing address

509 Santee CT
Lodi, CA 95242-2038
Phone (209) 327-0588

National Provider Directory

National Provider Directory

Locations

1213 W Lockeford St
Lodi, CA 95240
Phone (209) 327-0588

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": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1477809689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 SANTEE CT",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952422038",
            "telephone_number": "209-327-0588",
            "fax_number": "209-367-8563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 W LOCKEFORD ST",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952401635",
            "telephone_number": "209-327-0588",
            "fax_number": "209-367-8563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M FAMILY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "BEREAN",
        "authorized_official_first_name": "MALCOLM",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "209-327-0588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "38325",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "38326",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.