Active NPI
Alpine Christian Counseling Associates, Inc
- Marriage & Family Therapist
- Stockton, CA
National Provider Identifier
1659315547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC22242
- Legal business name
- ALPINE CHRISTIAN COUNSELING ASSOCIATES, INC
- Practice address
- 2307 W Alpine Ave
Stockton, CA 95204-2701 - Phone
- (209) 942-3369
- Fax
- (209) 465-4165
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Joanne L Hardman, MFT
- Title
- Center Director
- Phone
- (209) 465-4165
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC22242 | CA | Primary |
Addresses
Primary practice location
2307 W Alpine Ave
Stockton, CA 95204-2701
Mailing address
2808 Calariva Dr
Stockton, CA 95204-1407
Phone (209) 465-4165
Other names 1
- ALPINE COUNSELING CENTER
National Provider Directory
National Provider DirectoryLocations
2307 W Alpine Ave
Stockton, CA 95204
Phone (209) 473-7993
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Stockton, CA
- NPI 1649391848
-
- Marriage & Family Therapist
- Stockton, CA
- NPI 1275603235
-
- Marriage & Family Therapist
- Stockton, CA
- NPI 1679500052
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1659315547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2808 CALARIVA DR",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952041407",
"telephone_number": "209-465-4165",
"fax_number": "209-465-4165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 W ALPINE AVE",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952042701",
"telephone_number": "209-942-3369",
"fax_number": "209-465-4165"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALPINE CHRISTIAN COUNSELING ASSOCIATES, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HARDMAN",
"authorized_official_first_name": "JOANNE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "CENTER DIRECTOR",
"authorized_official_telephone_number": "209-465-4165",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC22242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ALPINE COUNSELING CENTER",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.