Active NPI
North Coast Family Counseling LLC
- Marriage & Family Therapist
- Crescent City, CA
National Provider Identifier
1982137345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98897
- Legal business name
- NORTH COAST FAMILY COUNSELING LLC
- Practice address
- 508 H St Ste 9
Crescent City, CA 95531-3723 - Phone
- (707) 633-4154
- NPI assigned
- Apr 4, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernadette Marie Johnson, MFT
- Title
- Owner
- Phone
- (707) 633-4154
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 98897 | CA | Primary |
Addresses
Primary practice location
508 H St Ste 9
Crescent City, CA 95531-3723
Mailing address
900 Northcrest Dr # 28
Crescent City, CA 95531-2315
Phone (707) 633-4154
National Provider Directory
National Provider DirectoryLocations
508 H St
Ste 9
Crescent City, CA 95531
Phone (707) 633-4154
900 Northcrest Dr
Crescent City, CA 95531
Phone (505) 537-5350
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Crescent City, CA
- NPI 1295921906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491264000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1491264000000",
"number": "1982137345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 NORTHCREST DR # 28",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955312315",
"telephone_number": "707-633-4154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 H ST STE 9",
"city": "CRESCENT CITY",
"state": "CA",
"postal_code": "955313723",
"telephone_number": "707-633-4154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH COAST FAMILY COUNSELING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-04",
"last_updated": "2017-04-04",
"status": "A",
"authorized_official_last_name": "JOHNSON",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "707-633-4154",
"authorized_official_credential": "MFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crescent City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.