Organization Active NPI

Conner Family Therapy, Inc.

  • Mental Health Counselor
  • Valencia, CA
National Provider Identifier
1659964575
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CONNER FAMILY THERAPY, INC.
Practice address
25050 Avenue Kearny Ste 203
Valencia, CA 91355-1257
Phone
(818) 257-0947
NPI assigned
Feb 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

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

Authorized official

Name
Mrs. Maritza Conner, LMFT104888NPI 1356680730
Title
LMFT
Phone
(818) 257-0947

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
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

25050 Avenue Kearny Ste 203
Valencia, CA 91355-1257

Mailing address

25050 Avenue Kearny Ste 203
Valencia, CA 91355-1257
Phone (818) 257-0947

Other identifiers 1

IdentifierTypeStateIssuer
LMFT104888OtherCABOARD OF BEHAVIORAL SCIENCES

Other names 1

  • Conner Family Therapy, Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL connerfamilytherapyinc@gmail.com Direct

National Provider Directory

National Provider Directory

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": "1613088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1659964575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY STE 203",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551257",
            "telephone_number": "818-257-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25050 AVENUE KEARNY STE 203",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913551257",
            "telephone_number": "818-257-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNER FAMILY THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "CONNER",
        "authorized_official_first_name": "MARITZA",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "818-257-0947",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT104888"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF BEHAVIORAL SCIENCES",
            "identifier": "LMFT104888",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "connerfamilytherapyinc@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Office",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "connerfamilytherapyinc@gmail.com",
            "address_1": "25050 Avenue Kearny Ste 203",
            "city": "Valencia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "913551257",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Conner Family Therapy, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.