Active NPI
Full Circle Psychotherapy
- Mental Health Counselor
- Sebastopol, CA
National Provider Identifier
1730795337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- FULL CIRCLE PSYCHOTHERAPY
- Practice address
- 6741 Sebastopol Ave Ste 110
Sebastopol, CA 95472-3838 - Phone
- (510) 326-3959
- NPI assigned
- Sep 18, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Corinne Barrows, LCSW 96438
- Title
- Therapist
- Phone
- (510) 326-3959
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Adult Mental Health Clinic/Center | 261QM0850X |
Addresses
Primary practice location
6741 Sebastopol Ave Ste 110
Sebastopol, CA 95472-3838
Mailing address
6741 Sebastopol Ave Ste 110
Sebastopol, CA 95472-3838
Phone (510) 326-3959
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093323669 | Medicaid | CA | |
| 1619483260 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
6741 Sebastopol Ave
Ste 110
Sebastopol, CA 95472
Phone (510) 326-3959
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Santa Rosa, CA
- NPI 1619483260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1600387200000",
"number": "1730795337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6741 SEBASTOPOL AVE STE 110",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723838",
"telephone_number": "510-326-3959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6741 SEBASTOPOL AVE STE 110",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954723838",
"telephone_number": "510-326-3959"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULL CIRCLE PSYCHOTHERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2020-09-18",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A",
"authorized_official_last_name": "BARROWS",
"authorized_official_first_name": "CORINNE",
"authorized_official_title_or_position": "THERAPIST",
"authorized_official_telephone_number": "510-326-3959",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LCSW 96438"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093323669",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1619483260",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.