Active NPI
Growth and Change Counseling Inc
- Marriage & Family Therapist
- Roseville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- GROWTH AND CHANGE COUNSELING INC
- Practice address
- 1700 Eureka Rd Ste 155-10
Roseville, CA 95661-7720 - Phone
- (408) 461-9658
- NPI assigned
- Oct 5, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Kane, LMFT
- Title
- Owner
- Phone
- (408) 461-9658
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | Primary |
Addresses
Primary practice location
1700 Eureka Rd Ste 155-10
Roseville, CA 95661-7720
Mailing address
1700 Eureka Rd Ste 155-10
Roseville, CA 95661-7720
Phone (916) 237-7052
Other practice location 1
1849 Sawtelle Blvd Ste 610
Los Angeles, CA 90025-7013
Phone (408) 692-6921
Other practice location 2
1875 S Bascom Ave Ste 2400
Campbell, CA 95008-2356
Phone (408) 461-9658
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1875 S Bascom Ave
Ste 2400
Campbell, CA 95008
Phone (408) 461-9658
409 Tennant Sta
Morgan Hill, CA 95037
Phone (408) 659-0111
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": "1664928000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1713398400000",
"number": "1487379285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 EUREKA RD STE 155-10",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617720",
"telephone_number": "916-237-7052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 EUREKA RD STE 155-10",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956617720",
"telephone_number": "408-461-9658"
}
],
"practiceLocations": [
{
"address_1": "1849 Sawtelle Blvd Ste 610",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900257013",
"country_code": "US",
"telephone_number": "408-692-6921",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1875 S Bascom Ave Ste 2400",
"address_purpose": "LOCATION",
"city": "Campbell",
"state": "CA",
"postal_code": "950082356",
"country_code": "US",
"telephone_number": "408-461-9658",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "GROWTH AND CHANGE COUNSELING INC",
"organizational_subpart": "NO",
"enumeration_date": "2022-10-05",
"last_updated": "2024-04-18",
"certification_date": "2023-04-20",
"status": "A",
"authorized_official_last_name": "KANE",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "408-461-9658",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.