Organization Active NPI

Connect2 Marriage Counseling, Inc.

  • Marriage & Family Therapist
  • Palo Alto, CA
National Provider Identifier
1578972766
Registry record updated Aug 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC45204 Issued in CA
Legal business name
CONNECT2 MARRIAGE COUNSELING, INC.
Practice address
667 Lytton Ave
Palo Alto, CA 94301-1335
Phone
(650) 847-0030
NPI assigned
Aug 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2014

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

Authorized official

Name
Mrs. Chandrama Lynne Anderson, MA, MFT
Title
President
Phone
(650) 847-0030

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC45204 CA Primary

Addresses

Primary practice location

667 Lytton Ave
Palo Alto, CA 94301-1335

Mailing address

420 9TH Ave
Menlo Park, CA 94025-1802
Phone (650) 847-0030

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1407888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407888000000",
    "number": "1578972766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 9TH AVE",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940251802",
            "telephone_number": "650-847-0030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 LYTTON AVE",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943011335",
            "telephone_number": "650-847-0030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT2 MARRIAGE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-13",
        "last_updated": "2014-08-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHANDRAMA",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "650-847-0030",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC45204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2014; 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.