Big Life Change Therapy

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

BIG LIFE CHANGE THERAPY

Practice address

822 D St
San Rafael, CA 94901-2814

Phone

(510) 831-3502

NPI assigned

Mar 27, 2026

Organization subpart

No

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

Authorized official

Name

Gabrielle Lopez

Title

Amft

Phone

(646) 228-8602

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gabrielle Yu

  • Counselor
  • San Leandro, CA
  • NPI 1376127613
  NPD
• Lucy O'Dwyer

  • Marriage & Family Therapist
  • San Rafael, CA
  • NPI 1033980362
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1774569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774569600000",
    "number": "1669311007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "822 D ST",
            "city": "SAN RAFAEL",
            "state": "CA",
            "postal_code": "949012814",
            "telephone_number": "510-831-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG LIFE CHANGE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-27",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "AMFT",
        "authorized_official_telephone_number": "646-228-8602"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonnie Bichkoff, OT/PT
• Hannah Bichkoff, MSW/ASW
• Jennie Lane L Bicknell, RADT
• Ralph D. Bien, M.D.
• Amy Elise Biesemeyer, MA, MFTI
• Loretta Binder-Wheeler
• Amerigo J Biollo
• Irene Grace Birch, M.S.
• Neal Sheldon Birnbaum, M.D.
• Vibhuti Birthare

• Counselor in San Rafael, CA
• Providers in San Rafael, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2026; 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.