Organization Active NPI

John F. Kennedy University

Doing business as JFKU Community Counseling Center - Concord

  • Marriage & Family Therapist
  • Concord, CA
National Provider Identifier
1952706277
Registry record updated Mar 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JOHN F. KENNEDY UNIVERSITY
Doing business as
JFKU Community Counseling Center - Concord
Practice address
2702 Clayton Rd
Concord, CA 94519-2789
Phone
(925) 798-9240
NPI assigned
Oct 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2016

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

Authorized official

Name
Gail Kinsley-Dame, M.A.
Title
Executive Director
Phone
(925) 798-9240

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103T00000X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

2702 Clayton Rd
Concord, CA 94519-2789

Mailing address

2702 Clayton Rd
Concord, CA 94519-2789
Phone (925) 798-9240

Other names 1

  • JFKU Community Counseling Center - Concord Doing business as

National Provider Directory

National Provider Directory

Locations

2702 Clayton Rd
Concord, CA 94519
Phone (925) 771-3100

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1952706277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192789",
            "telephone_number": "925-798-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 CLAYTON RD",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945192789",
            "telephone_number": "925-798-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN F. KENNEDY UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-29",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "KINSLEY-DAME",
        "authorized_official_first_name": "GAIL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "925-798-9240",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "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": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "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": [
        {
            "organization_name": "JFKU Community Counseling Center - Concord",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2016; 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.