Golden State Performance and Family Counseling Inc

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

GOLDEN STATE PERFORMANCE AND FAMILY COUNSELING INC

Practice address

621 Cherry St
Santa Rosa, CA 95404-4202

Phone

(707) 540-4437

NPI assigned

Jan 14, 2025

Last updated

Jan 14, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diego Hall, LMFTNPI 1285152298

Title

President/Founder

Phone

(707) 540-4437

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Diego Paris Hall, LMFT

  • Marriage & Family Therapist
  • Santa Rosa, CA
  • NPI 1285152298
  NPD Authorized official
• Deborah Lynn Chiddix, PSY.D.

  • Clinical Psychologist
  • Santa Rosa, CA
  • NPI 1043389000
  NPD (past)
• Jennifer Holland Brown, PSYD

  • Psychologist
  • Santa Rosa, CA
  • NPI 1194015958
  NPD (past)
• Alexandra Elizabeth Clarfield, PHD

  • Clinical Psychologist
  • Hood River, OR
  • NPI 1235355645
  NPD (past)
• Dennis Richard Glick, MD

  • Psychiatry Physician
  • Greenbelt, MD
  • NPI 1114981651
  NPD (past)

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

{
    "created_epoch": "1736812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1861203440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 4TH ST # 242",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 CHERRY ST",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044202",
            "telephone_number": "707-540-4437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE PERFORMANCE AND FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-14",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "DIEGO",
        "authorized_official_title_or_position": "PRESIDENT/FOUNDER",
        "authorized_official_telephone_number": "707-540-4437",
        "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": []
}

• Susan Elizabeth Gold, LMFT
• Nicole Goldberg-Boltz, MD
• Moses David E Goldberg, N.D
• Shira Davida Goldberg, AMFT, APCC
• Golden Gate Hospitalists
• Roberta L Goldfarb, PHD
• Goldhamer & Marano Chiropractic Ctr, Inc.
• Alan Goldhamer, D.C.
• Linsey Golding
• Brad Golditch, MD

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; 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.