NPIMap

Organization Active NPI

Mindful Child & Family Therapy, Inc

  • Marriage & Family Therapist
  • Los Altos, CA
National Provider Identifier
1780156877
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MINDFUL CHILD & FAMILY THERAPY, INC
Practice address
851 Fremont Ave Ste 210
Los Altos, CA 94024-5602
Phone
(650) 297-3400
Fax
(650) 897-1005
NPI assigned
Dec 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Authorized official

Name
Stephanie Izzarelli
Title
Account Manager
Phone
(650) 297-3400

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

851 Fremont Ave Ste 210
Los Altos, CA 94024-5602

Mailing address

PO Box 3156
Half Moon Bay, CA 94019-3156
Phone (650) 297-3400

Other practice location 1

4984 El Camino Real Ste 208
Los Altos, CA 94022-1433
Phone (650) 297-3400 ext. 1

Other practice location 2

131 Kelly Ave
Half Moon Bay, CA 94019-1629
Phone (650) 297-3400 ext. 1

Other practice location 3

4010 Moorpark Ave Ste 118
San Jose, CA 95117-1803
Phone (650) 297-3400 ext. 1

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112001347 CA Part B Supplier - Clinic/Group Practice 8820449945 Receives reassigned benefits from 2 practitioners
Practice locations: Half Moon Bay, CA; Los Altos, CA; Palo Alto, CA; San Jose, CA

National Provider Directory

National Provider Directory

Locations

851 Fremont Ave
Ste 210
Los Altos, CA 94024
Phone (650) 852-0266

4966 El Camino Real
Ste 115
Los Altos, CA 94022
Phone (650) 961-1102

Practitioners & affiliated clinicians

Practitioners 9

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": "1546128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788739200000",
    "number": "1780156877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3156",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940193156",
            "telephone_number": "650-297-3400",
            "fax_number": "650-897-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "851 FREMONT AVE STE 210",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940245602",
            "telephone_number": "650-297-3400",
            "fax_number": "650-897-1005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4984 El Camino Real Ste 208",
            "address_purpose": "LOCATION",
            "city": "Los Altos",
            "state": "CA",
            "postal_code": "940221433",
            "country_code": "US",
            "telephone_number": "650-297-3400 x1",
            "fax_number": "650-897-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "131 Kelly Ave",
            "address_purpose": "LOCATION",
            "city": "Half Moon Bay",
            "state": "CA",
            "postal_code": "940191629",
            "country_code": "US",
            "telephone_number": "650-297-3400 x1",
            "fax_number": "650-897-1005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4010 Moorpark Ave Ste 118",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951171803",
            "country_code": "US",
            "telephone_number": "650-297-3400 x1",
            "fax_number": "650-897-1005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MINDFUL CHILD & FAMILY THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-30",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A",
        "authorized_official_last_name": "IZZARELLI",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "ACCOUNT MANAGER",
        "authorized_official_telephone_number": "650-297-3400"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.