Organization Active NPI

North Coast Family Counseling LLC

  • Marriage & Family Therapist
  • Crescent City, CA
National Provider Identifier
1982137345
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
98897 Issued in CA
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

Updated by the provider on Apr 4, 2017

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

Authorized official

Name
Bernadette Marie Johnson, MFTNPI 1295921906
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.