NPIMap

Organization Active NPI

Credence Family Counseling

  • Marriage & Family Therapist
  • Modesto, CA
National Provider Identifier
1790809671
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC39183 Issued in CA
Legal business name
CREDENCE FAMILY COUNSELING
Practice address
1600 Sunrise Ave
Suite 12
Modesto, CA 95350-4679
Phone
(209) 334-3720
NPI assigned
Mar 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Insa Duke, LMFTNPI 1992861090
Title
Therapist
Phone
(209) 499-9188

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC39183 CA Primary

Addresses

Primary practice location

1600 Sunrise Ave
Suite 12
Modesto, CA 95350-4679

Mailing address

1600 Sunrise Ave
Suite 12
Modesto, CA 95350-4679

National Provider Directory

National Provider Directory

Locations

1600 Sunrise Ave
Ste 12
Modesto, CA 95350
Phone (209) 334-3720

Practitioners & affiliated clinicians

Practitioners 2

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": "1174176000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1790809671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 SUNRISE AVE",
            "address_2": "SUITE 12",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 SUNRISE AVE",
            "address_2": "SUITE 12",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504679",
            "telephone_number": "209-334-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREDENCE FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DUKE",
        "authorized_official_first_name": "INSA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "209-499-9188",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.