NPIMap

Organization Active NPI

Sonoma County Child & Family Counseling, Inc.

  • Marriage & Family Therapist
  • Santa Rosa, CA
National Provider Identifier
1639617699
Registry record updated Jun 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT34259 Issued in CA
Legal business name
SONOMA COUNTY CHILD & FAMILY COUNSELING, INC.
Practice address
3434 Mendocino Ave # a
Santa Rosa, CA 95403-2274
Phone
(707) 322-1929
Fax
(707) 708-2188
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2017

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

Authorized official

Name
Mr. Paul Eliot Margolis, LMFTNPI 1689997637
Title
President
Phone
(707) 322-1929

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 MULTIPLE SINGLE SPECIALTY GROUP 106H00000X LMFT34259 CA Primary

Addresses

Primary practice location

3434 Mendocino Ave # a
Santa Rosa, CA 95403-2274

Mailing address

3434 Mendocino Ave # a
Santa Rosa, CA 95403-2274
Phone (707) 322-1929

Other identifiers 1

IdentifierTypeStateIssuer
1689997637MedicaidCA

Other names 1

  • SONOMA COUNTY COUNSELING Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sonoma County Child Family Counseling Inc2 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.

Practitioners & affiliated clinicians

Practitioners 7

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1497225600000",
    "number": "1639617699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 MENDOCINO AVE # A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032274",
            "telephone_number": "707-322-1929",
            "fax_number": "707-708-2188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 MENDOCINO AVE # A",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954032274",
            "telephone_number": "707-322-1929",
            "fax_number": "707-708-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA COUNTY CHILD & FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-06-12",
        "status": "A",
        "authorized_official_last_name": "MARGOLIS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "ELIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-322-1929",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT34259",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689997637",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SONOMA COUNTY COUNSELING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2017; 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.