Organization Active NPI

Crystalline Counseling, a Marriage & Family Therapy Corporation

  • Marriage & Family Therapist
  • Daly City, CA
National Provider Identifier
1609424829
Registry record updated Aug 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
CRYSTALLINE COUNSELING, A MARRIAGE & FAMILY THERAPY CORPORATION
Doing business as
Crystalline Counseling
Practice address
355 Gellert Blvd Ste 280
Daly City, CA 94015-2619
Phone
(650) 524-5099
NPI assigned
Aug 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2019

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

Authorized official

Name
Ms. Lauren Hendrick, MA, LMFTNPI 1356668016
Title
Licensed Marriage & Family Therapis
Phone
(650) 524-5099

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

355 Gellert Blvd Ste 280
Daly City, CA 94015-2619

Mailing address

355 Gellert Blvd Ste 280
Daly City, CA 94015-2619

Other names 1

  • Crystalline Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

355 Gellert Blvd
Ste 280
Daly City, CA 94015
Phone (650) 667-0784

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": "1567123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567123200000",
    "number": "1609424829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 GELLERT BLVD STE 280",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 GELLERT BLVD STE 280",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152619",
            "telephone_number": "650-524-5099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTALLINE COUNSELING, A MARRIAGE & FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-30",
        "last_updated": "2019-08-30",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "LICENSED MARRIAGE & FAMILY THERAPIS",
        "authorized_official_telephone_number": "650-524-5099",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystalline Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Daly City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; 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.