Organization Active NPI

Kokoro Counseling Center, Inc., a Licensed Clinical Social Worker

  • Clinical Social Worker
  • Chico, CA
National Provider Identifier
1730960253
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
KOKORO COUNSELING CENTER, INC., A LICENSED CLINICAL SOCIAL WORKER
Practice address
341 Broadway St Ste 223
Chico, CA 95928-5355
Phone
(530) 433-9745
Fax
(530) 231-6380
NPI assigned
Oct 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Authorized official

Name
Teresa Diane Richman, LCSWNPI 1609183672
Title
Owner, Manager
Phone
(530) 592-6939

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

341 Broadway St Ste 223
Chico, CA 95928-5355

Mailing address

1692 Mangrove Ave PMB 136
Chico, CA 95926-2648
Phone (530) 592-6939

Other names 1

  • Kokoro Counseling Center, Inc., A Clinical Social Worker Other name

National Provider Directory

National Provider Directory

Locations

341 Broadway St
Ste 223
Chico, CA 95928
Phone (530) 433-1585

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": "1696896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1730960253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 MANGROVE AVE PMB 136",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959262648",
            "telephone_number": "530-592-6939",
            "fax_number": "530-231-6380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 BROADWAY ST STE 223",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959285355",
            "telephone_number": "530-433-9745",
            "fax_number": "530-231-6380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKORO COUNSELING CENTER, INC., A LICENSED CLINICAL SOCIAL WORKER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-10",
        "status": "A",
        "authorized_official_last_name": "RICHMAN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_middle_name": "DIANE",
        "authorized_official_title_or_position": "OWNER, MANAGER",
        "authorized_official_telephone_number": "530-592-6939",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kokoro Counseling Center, Inc., A Clinical Social Worker",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chico, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; 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.