1. Home
  2. Directory
  3. California
  4. Lafayette
  5. Marriage Family Therapist
  6. NPI Profile

CHARLES CROCKETT MA, AMFT
NPI 1407601206
Marriage & Family Therapist in Lafayette, CA

Active since April 23, 2024
978 2ND ST STE 200, LAFAYETTE, CA 94549(925) 240-3620 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Charles Crockett Ma, Amft NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES CROCKETT MA, AMFT (NPI 1407601206) is an individual marriage & family therapist in Lafayette, California, licensed in California (142087) and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1407601206
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameCHARLES CROCKETTCredential: MA, AMFT
Location Address978 2ND ST STE 200Lafayette, CA 94549-4545
Mailing Address3190 Oak Rd Apt 220Walnut Creek, CA 94597-7763 · (707) 483-8392
Phone(925) 240-3620
Sole ProprietorNo
Enumeration DateApril 23, 2024
NPPES CertifiedApril 23, 2024
✔ NPI 1407601206 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 142087
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
978 2ND ST STE 200, Lafayette, CA 94549
Open in Google Maps ↗

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAUREN BRUHN
Marriage & Family Therapist
978 2ND ST STE 200
LAFAYETTE, CA 94549
Contra Costa County (925) 386-6037
DANIELLE NICOLE WILSON LEP
Psychologist (School)
978 2ND ST STE 200
LAFAYETTE, CA 94549
Contra Costa County (925) 386-6037
DR. EUGENIA VILLALPANDO
Psychologist (School)
978 2ND ST STE 200
LAFAYETTE, CA 94549
Contra Costa County (925) 257-0103
MARRIA GRACE KEE
Counselor (Mental Health)
978 2ND ST STE 200
LAFAYETTE, CA 94549
Contra Costa County (925) 386-6037

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Crockett's NPI number?

The NPI number for Charles Crockett is 1407601206. It was assigned to this individual provider in the NPPES registry on April 23, 2024.

Where is Charles Crockett located?

Charles Crockett practices at 978 2nd St Ste 200, Lafayette, CA 94549. The listed phone number is (925) 240-3620.

What is Charles Crockett's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

When was this NPI record last updated?

The NPPES record for Charles Crockett was last updated on April 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.