Echo Rock Therapy Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MFC28068 Issued in CA

Legal business name

ECHO ROCK THERAPY CENTER

Practice address

45 Camino Alto
Ste 200
Mill Valley, CA 94941-2929

Phone

(415) 383-6048

Fax

(415) 388-0111

NPI assigned

Apr 1, 2007

Last updated

May 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Grant Rudolph, MFT

Title

Co-Dircetor

Phone

(415) 389-9430

Specialties & licenses 1

Addresses

Tax ID family

Echo Rock Therapy Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Echo Rock Therapy Center, 501(C) 3

  • Marriage & Family Therapist
  • Mill Valley, CA
  • NPI 1295015030
  NPD tax ID

Locations

Practitioners 1

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.

• Victoria Lee Vogel, MFT

  • Marriage & Family Therapist
  • Mill Valley, CA
  • NPI 1437478690
  NPD (past)

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

{
    "created_epoch": "1175385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274832000000",
    "number": "1508986456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 CATALPA AVE",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412802",
            "telephone_number": "415-383-6048",
            "fax_number": "415-388-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CAMINO ALTO",
            "address_2": "STE 200",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949412929",
            "telephone_number": "415-383-6048",
            "fax_number": "415-388-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECHO ROCK THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-01",
        "last_updated": "2010-05-26",
        "status": "A",
        "authorized_official_last_name": "RUDOLPH",
        "authorized_official_first_name": "GRANT",
        "authorized_official_title_or_position": "CO-DIRCETOR",
        "authorized_official_telephone_number": "415-389-9430",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC28068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine S Duffin, CP
• Channie A. Duhn, O.D.
• Deborah Lee Dunning, LMFT
• Jay Earley, PHD
• Jean-Paul Eberle, LMFT
• Echo Rock Therapy Center, 501(C) 3
• Richard Damien Ehret, DC
• Eliot Kaplan O D Inc (Mill Valley Optometry)
• John W Elliott, MD
• Energize Health and Hormones, Inc.

• Mental Health Counselor in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.