Organization Active NPI

Inspired Lives Counseling

  • Community/Behavioral Health Agency
  • Pacifica, CA
National Provider Identifier
1790111466
Registry record updated Sep 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFC 45739 Issued in CA
Legal business name
INSPIRED LIVES COUNSELING
Practice address
2309 Palmetto Ave
C1
Pacifica, CA 94044-2736
Phone
(650) 273-3293
NPI assigned
Sep 25, 2013
Last updated
Sep 25, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2013

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

Authorized official

Name
Karrie Marie Stafford, MFTNPI 1346306677
Title
Marriage and Family Therapist
Phone
(659) 273-3293

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
Community/Behavioral Health Agency 251S00000X MFC 45739 CA Primary

Addresses

Primary practice location

2309 Palmetto Ave
C1
Pacifica, CA 94044-2736

Mailing address

2309 Palmetto Ave
C1
Pacifica, CA 94044-2736
Phone (650) 273-3293

National Provider Directory

National Provider Directory

Locations

2309 Palmetto Ave
Ste C1
Pacifica, CA 94044
Phone (650) 273-3293

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380067200000",
    "number": "1790111466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2309 PALMETTO AVE",
            "address_2": "C1",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442736",
            "telephone_number": "650-273-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2309 PALMETTO AVE",
            "address_2": "C1",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442736",
            "telephone_number": "650-273-3293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED LIVES COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A",
        "authorized_official_last_name": "STAFFORD",
        "authorized_official_first_name": "KARRIE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "659-273-3293",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFC 45739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacifica, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; 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.