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GOLDEN STATE MARRRIAGE AND FAMILY THERAPY A PROFESSIONAL CORPORATION
NPI 1750040499
Counselor - Mental Health in Tustin, CA

Active since December 09, 2021
515 E 1ST ST STE D, TUSTIN, CA 92780(657) 900-8655(657) 900-8656 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 22, 2026, Nov 25, 2025, Dec 9, 2021 (3 updates tracked since 2021).

About Golden State Marrriage And Family Therapy A Professional Corporation NPPES

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

GOLDEN STATE MARRRIAGE AND FAMILY THERAPY A PROFESSIONAL CORPORATION (NPI 1750040499), doing business as Golden State Therapy, is a healthcare organization registered as a mental health in Tustin, California and active in the NPI registry since December 2021. The organization lists Janet C Basalone, President/owner, as its authorized official.

NPPES Registry Identity

NPI1750040499
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameGOLDEN STATE MARRRIAGE AND FAMILY THERAPY A PROFESSIONAL CORPORATION
Location Address515 E 1ST ST STE DTustin, CA 92780-3335
Mailing Address250 El Camino Real Ste 213Tustin, CA 92780-3656 · (657) 900-8655 · Fax (657) 900-8656
Phone(657) 900-8655
Fax(657) 900-8656
Organization SubpartNo
Authorized OfficialJanet C BasalonePresident/owner · (657) 900-8655
Enumeration DateDecember 9, 2021
Last NPPES UpdateJanuary 22, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1750040499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
515 E 1ST ST STE D, Tustin, CA 92780
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Other Names 2

Doing Business AsGolden State Therapy
Other NameGolden State Therapy, Inc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Golden State Marrriage And Family Therapy A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Golden State Marrriage And Family Therapy A Professional Corporation, which bills Medicare for the services this clinician delivers.

Clinician (1)

Janet Basalone, LMFT
Marriage and Family Therapist
NPI 1053664649
250 EL CAMINO REAL STE 213
Tustin, CA 92780
(657) 900-8655
✔ PECOS0.4 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Golden State Marrriage And Family Therapy A Professional Corporation's NPI number?

The NPI number for Golden State Marrriage And Family Therapy A Professional Corporation is 1750040499. It was assigned to this organization in the NPPES registry on December 9, 2021. The provider is doing business as Golden State Therapy. The provider is also known as Golden State Therapy, Inc.

Where is Golden State Marrriage And Family Therapy A Professional Corporation located?

Golden State Marrriage And Family Therapy A Professional Corporation is located at 515 E 1st St Ste D, Tustin, CA 92780. The listed phone number is (657) 900-8655.

What is Golden State Marrriage And Family Therapy A Professional Corporation's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Golden State Marrriage And Family Therapy A Professional Corporation enrolled in Medicare?

Yes. Golden State Marrriage And Family Therapy A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Golden State Marrriage And Family Therapy A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Marriage and Family Therapist) reassigns their Medicare billing to Golden State Marrriage And Family Therapy A Professional Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Golden State Marrriage And Family Therapy A Professional Corporation was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.