Organization Active NPI

Alpine Christian Counseling Associates, Inc

  • Marriage & Family Therapist
  • Stockton, CA
National Provider Identifier
1659315547
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC22242 Issued in CA
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.