Organization Active NPI

Therapy Center for Family Consciousness Inc.

  • Marriage & Family Therapist
  • Eureka, CA
National Provider Identifier
1699446096
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
THERAPY CENTER FOR FAMILY CONSCIOUSNESS INC.
Practice address
615 Harris St
Eureka, CA 95503-4447
Phone
(707) 599-7366
Fax
(707) 407-0566
NPI assigned
Sep 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Authorized official

Name
Dr. Roberta Nolan, PHD LMFTNPI 1366575409
Title
President/Owner
Phone
(530) 356-3442

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

615 Harris St
Eureka, CA 95503-4447

Mailing address

615 Harris St
Eureka, CA 95503-4447
Phone (707) 599-7366

Other names 1

  • TCFFC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241010000380 CA Part B Supplier - Clinic/Group Practice 4789116195 Receives reassigned benefits from 2 practitioners
Practice locations: Eureka, CA

National Provider Directory

National Provider Directory

Locations

615 Harris St
Eureka, CA 95503
Phone (707) 599-7366

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": "1632441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1699446096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034447",
            "telephone_number": "707-599-7366",
            "fax_number": "707-407-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 HARRIS ST",
            "city": "EUREKA",
            "state": "CA",
            "postal_code": "955034447",
            "telephone_number": "707-599-7366",
            "fax_number": "707-407-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY CENTER FOR FAMILY CONSCIOUSNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-24",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "ROBERTA",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "530-356-3442",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TCFFC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Eureka, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.