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MINDFUL CHILD & FAMILY THERAPY, INC
NPI 1780156877
Marriage & Family Therapist in Los Altos, CA

Active since December 30, 2018
851 FREMONT AVE STE 210, LOS ALTOS, CA 94024(650) 297-3400(650) 897-1005 Get Directions Write a Review

NPPES record last updated: September 7, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 7, 2026, Dec 30, 2018 (2 updates tracked since 2018).

About Mindful Child & Family Therapy, Inc NPPES

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

MINDFUL CHILD & FAMILY THERAPY, INC (NPI 1780156877) is a healthcare organization registered as a marriage & family therapist in Los Altos, California and active in the NPI registry since December 2018. The organization maintains 3 additional practice locations and lists Stephanie Izzarelli, Account Manager, as its authorized official.

NPPES Registry Identity

NPI1780156877
Entity TypeOrganization
Primary Taxonomy106H00000X
Legal Business NameMINDFUL CHILD & FAMILY THERAPY, INC
Location Address851 FREMONT AVE STE 210Los Altos, CA 94024-5602
Mailing AddressPo Box 3156Half Moon Bay, CA 94019-3156 · (650) 297-3400 · Fax (650) 897-1005
Phone(650) 297-3400
Fax(650) 897-1005
Organization SubpartNo
Authorized OfficialStephanie IzzarelliAccount Manager · (650) 297-3400
Enumeration DateDecember 30, 2018
Last NPPES UpdateSeptember 7, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 7, 2026
✔ NPI 1780156877 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 ListedPsychologistTaxonomy 103T00000X
851 FREMONT AVE STE 210, Los Altos, CA 94024
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Secondary Practice Locations 3

Location 14010 Moorpark Ave Ste 118San Jose, CA 95117-1803 · Phone (650) 297-3400 ext. 1 · Fax (650) 897-1005
Location 2131 Kelly AveHalf Moon Bay, CA 94019-1629 · Phone (650) 297-3400 ext. 1 · Fax (650) 897-1005
Location 34984 El Camino Real Ste 208Los Altos, CA 94022-1433 · Phone (650) 297-3400 ext. 1 · Fax (650) 897-1005

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mindful Child & Family Therapy, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mindful Child & Family Therapy, Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Jaclyn Long, MFT
Marriage and Family Therapist
NPI 1871065961
851 FREMONT AVE STE 210
Los Altos, CA 94024
(650) 297-3400
✔ PECOS✔ Accepts MedicareSame address
Lakshmi Kalluri
Marriage and Family Therapist
NPI 1215609417
2471 PERALTA ST
Oakland, CA 94607
(415) 360-3348
✔ PECOS34 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 Mindful Child & Family Therapy, Inc's NPI number?

The NPI number for Mindful Child & Family Therapy, Inc is 1780156877. It was assigned to this organization in the NPPES registry on December 30, 2018.

Where is Mindful Child & Family Therapy, Inc located?

Mindful Child & Family Therapy, Inc is located at 851 Fremont Ave Ste 210, Los Altos, CA 94024. The listed phone number is (650) 297-3400.

What is Mindful Child & Family Therapy, Inc's specialty?

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

Is Mindful Child & Family Therapy, Inc enrolled in Medicare?

Yes. Mindful Child & Family Therapy, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mindful Child & Family Therapy, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Marriage and Family Therapist, reassign their Medicare billing to Mindful Child & Family Therapy, Inc. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mindful Child & Family Therapy, Inc was last updated on September 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.