Organization Active NPI

Lotus Integrative Therapy, Licensed Clinical Social Worker, a Professional Corporation

  • Community/Behavioral Health Agency
  • San Rafael, CA
National Provider Identifier
1619847696
Registry record updated Nov 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOTUS INTEGRATIVE THERAPY, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Practice address
605 B St RM 4
San Rafael, CA 94901-3805
Phone
(510) 457-1817
NPI assigned
Nov 6, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2025

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

Authorized official

Name
Tiffani K Parrish, LCSWNPI 1134400591
Title
Ceo
Phone
(720) 202-0394

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

605 B St RM 4
San Rafael, CA 94901-3805

Mailing address

605 B St RM 4
San Rafael, CA 94901-3805
Phone (510) 457-1817

National Provider Directory

National Provider Directory

Locations

605 B St
Rm 4
San Rafael, CA 94901
Phone (510) 457-1817

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": "1762387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762387200000",
    "number": "1619847696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 B ST RM 4",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013805",
            "telephone_number": "510-457-1817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 B ST RM 4",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949013805",
            "telephone_number": "510-457-1817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS INTEGRATIVE THERAPY, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-06",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A",
        "authorized_official_last_name": "PARRISH",
        "authorized_official_first_name": "TIFFANI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "720-202-0394",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Rafael, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2025; 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.