Organization Active NPI

My Niche Family Therapy Professional Corporation

  • Marriage & Family Therapist
  • Fairfield, CA
National Provider Identifier
1801755269
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
MY NICHE FAMILY THERAPY PROFESSIONAL CORPORATION
Practice address
825 Webster St Ste B
Fairfield, CA 94533-5522
Phone
(707) 475-3203
Fax
(707) 439-3037
NPI assigned
Jan 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Authorized official

Name
Charles Thomas Anderson, LMFTNPI 1790172013
Title
Owner
Phone
(707) 386-8066

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 Primary

Addresses

Primary practice location

825 Webster St Ste B
Fairfield, CA 94533-5522

Mailing address

346 Rockhurst CT
Fairfield, CA 94533-1241
Phone (707) 475-3203

National Provider Directory

National Provider Directory

Locations

825 Webster St
Ste B
Fairfield, CA 94533
Phone (559) 381-1552

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": "1768867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768867200000",
    "number": "1801755269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 ROCKHURST CT",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331241",
            "telephone_number": "707-475-3203",
            "fax_number": "707-439-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 WEBSTER ST STE B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335522",
            "telephone_number": "707-475-3203",
            "fax_number": "707-439-3037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY NICHE FAMILY THERAPY PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-01-20",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-386-8066",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2026; 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.