Individual & Family Counseling Clinic for Healing & Change Profes
NPI 1205552031 · Mental Health Counselor · Galt, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Individual & Family Counseling Clinic for Healing & Change Profes is a Mental Health Counselor organization in Galt, CA (NPI 1205552031).
Provider details
- NPI number
- 1205552031
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Christine Vandekerckhove, Owner(217) 415-4754
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 222 W Lockeford St Ste 8Lodi, CA 95240-2054Phone: (916) 376-7935
- 7801 Folsom Blvd Ste 215Sacramento, CA 95826-2620Phone: (916) 376-7935
Registry dates
- Enumerated
- 2022-10-13
- Last updated
- 2025-09-29
- Certified
- 2025-09-29
Frequently asked questions
- What is Individual & Family Counseling Clinic for Healing & Change Profes's NPI number?
- Individual & Family Counseling Clinic for Healing & Change Profes's National Provider Identifier (NPI) is 1205552031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Individual & Family Counseling Clinic for Healing & Change Profes?
- Individual & Family Counseling Clinic for Healing & Change Profes is classified in the NPPES registry as Mental Health Counselor (Behavioral Health & Social Service Providers).
- Where is Individual & Family Counseling Clinic for Healing & Change Profes located?
- Individual & Family Counseling Clinic for Healing & Change Profes's practice location on file with NPPES is 9854 New Hope Rd, Galt, CA 95632-8807.
- What is Individual & Family Counseling Clinic for Healing & Change Profes's phone number?
- The practice phone number listed in the NPPES registry for Individual & Family Counseling Clinic for Healing & Change Profes is (209) 406-0445.
- Does Individual & Family Counseling Clinic for Healing & Change Profes accept Medicare?
- Individual & Family Counseling Clinic for Healing & Change Profes is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Individual & Family Counseling Clinic for Healing & Change Profes?
- The authorized official listed on Individual & Family Counseling Clinic for Healing & Change Profes's NPPES record is Christine Vandekerckhove, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Individual & Family Counseling Clinic for Healing & Change Profes's NPI active?
- Yes — Individual & Family Counseling Clinic for Healing & Change Profes's NPI (1205552031) is active in the NPPES registry as of the last update on 2025-09-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.