NPIMap

Organization Active NPI

Folsom Teen and Family Counseling Services, Professional Corporation

  • Marriage & Family Therapist
  • Folsom, CA
National Provider Identifier
1619785243
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
FOLSOM TEEN AND FAMILY COUNSELING SERVICES, PROFESSIONAL CORPORATION
Practice address
13405 Folsom Blvd Ste 200
Folsom, CA 95630-4738
Phone
(916) 292-9000
NPI assigned
Dec 30, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Christopher Edward Taylor, LMFTNPI 1730332792
Title
President/Ceo
Phone
(916) 873-6434

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

13405 Folsom Blvd Ste 200
Folsom, CA 95630-4738

Mailing address

13405 Folsom Blvd Ste 200
Folsom, CA 95630-4738
Phone (916) 873-6434

Other names 1

  • Elite Teen Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

13405 Folsom Blvd
Ste 200
Folsom, CA 95630
Phone (916) 873-6434

Practitioners & affiliated clinicians

Practitioners 5

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": "1735516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1619785243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304738",
            "telephone_number": "916-873-6434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13405 FOLSOM BLVD STE 200",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304738",
            "telephone_number": "916-292-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOLSOM TEEN AND FAMILY COUNSELING SERVICES, PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-29",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "916-873-6434",
        "authorized_official_credential": "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": "Elite Teen Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Folsom, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.