Organization Active NPI

Embracing Life Psychotherapy Inc.

  • Mental Health Counselor
  • Petaluma, CA
National Provider Identifier
1669239083
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
EMBRACING LIFE PSYCHOTHERAPY INC.
Practice address
133 1/2 Kentucky St
Petaluma, CA 94952-2925
Phone
(650) 360-2211
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Laurette Lipman, LPCCNPI 1770854978
Title
Owner
Phone
(650) 360-2211

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

133 1/2 Kentucky St
Petaluma, CA 94952-2925

Mailing address

133 1/2 Kentucky St
Petaluma, CA 94952-2925

National Provider Directory

National Provider Directory

Locations

133 Kentucky St
Petaluma, CA 94952
Phone (650) 360-2211

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": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1669239083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 1/2 KENTUCKY ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 1/2 KENTUCKY ST",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949522925",
            "telephone_number": "650-360-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING LIFE PSYCHOTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "LIPMAN",
        "authorized_official_first_name": "LAURETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-360-2211",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Petaluma, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.