Christensen Family Therapy, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

1138 Issued in NC

Legal business name

CHRISTENSEN FAMILY THERAPY, PLLC

Practice address

1900 S Main St
Wake Forest, NC 27587-5026

Phone

(919) 757-3440

Fax

(919) 562-5696

NPI assigned

Apr 15, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Jeffrey Jay Christensen, LMFTNPI 1356488878

Title

Ceo

Phone

(919) 757-3440

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Jeffrey Jay Christensen, LMFT

  • Marriage & Family Therapist
  • Wake Forest, NC
  • NPI 1356488878
  NPD (past) Authorized official

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460678400000",
    "number": "1770937880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 MAIN DIVIDE DR",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275876194",
            "telephone_number": "919-435-1683",
            "fax_number": "919-562-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S MAIN ST",
            "city": "WAKE FOREST",
            "state": "NC",
            "postal_code": "275875026",
            "telephone_number": "919-757-3440",
            "fax_number": "919-562-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTENSEN FAMILY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2016-04-15",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "919-757-3440",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NC",
            "license": "1138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6105161",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child & Family Support Services, LLC
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• Chitter Chatter
• Choice Care Concepts
• Jeffrey Jay Christensen, LMFT
• Arlene Chua, MD
• Isabella Ciccone, MSW, LCSW-A
• Clarity Connect Psychiatry
• William Gilmer Clark, MD

• Marriage & Family Therapist in Wake Forest, NC
• Providers in Wake Forest, NC by specialty
• Marriage & Family Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; 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.