FOURTH STREET CHRISTIAN THERAPISTS
NPI 1740830389
Marriage & Family Therapist in Santa Rosa, CA

Active since September 16, 2019
1622 4TH ST, SANTA ROSA, CA 95404(707) 571-1714 Get Directions Write a Review

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

Record update history: Jul 23, 2024, Sep 16, 2019 (2 updates tracked since 2019).

About Fourth Street Christian Therapists NPPES

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

FOURTH STREET CHRISTIAN THERAPISTS (NPI 1740830389) is a healthcare organization registered as a marriage & family therapist in Santa Rosa, California and active in the NPI registry since September 2019. The organization lists Joy Lyn Kendall, President/owner, as its authorized official.

NPPES Registry Identity

NPI1740830389
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameKENDALL INDIVIDUAL FAMILY AND MARRIAGE THERAPISTS INC
Location Address1622 4TH STSanta Rosa, CA 95404-4020
Mailing Address1622 4th StSanta Rosa, CA 95404-4020 · (707) 535-6615
Organization SubpartNo
Authorized OfficialJoy Lyn KendallPresident/owner · (707) 535-6615
Enumeration DateSeptember 16, 2019
Last NPPES UpdateJuly 23, 20242 updates tracked since enumeration
NPPES CertifiedJuly 23, 2024
NPI 1740830389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
1622 4TH ST, Santa Rosa, CA 95404

Other Names 1

Doing Business AsFourth Street Christian Therapists

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

Social Worker (Clinical)
1622 4TH ST
SANTA ROSA, CA 95404
Social Worker (Clinical)
1622 4TH ST
SANTA ROSA, CA 95404
Social Worker (Clinical)
1622 4TH ST
SANTA ROSA, CA 95404
Student in an Organized Health Care Education/Training Program
1622 4TH ST
SANTA ROSA, CA 95404
Marriage & Family Therapist
1622 4TH ST
SANTA ROSA, CA 95404
Student in an Organized Health Care Education/Training Program
1622 4TH ST
SANTA ROSA, CA 95404

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 Kendall Individual Family And Marriage Therapists Inc's NPI number?

The NPI number for Kendall Individual Family And Marriage Therapists Inc is 1740830389. It was assigned to this organization in the NPPES registry on September 16, 2019. The provider is doing business as Fourth Street Christian Therapists.

Where is Kendall Individual Family And Marriage Therapists Inc located?

Kendall Individual Family And Marriage Therapists Inc is located at 1622 4th St, Santa Rosa, CA 95404. The listed phone number is (707) 571-1714.

What is Kendall Individual Family And Marriage Therapists Inc'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 Kendall Individual Family And Marriage Therapists Inc was last updated on July 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.