=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508550427
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | REDEMPTION SONGS FAMILY THERAPY
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/05/2023
-----------------------------------------------------
Last Update Date | 10/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1940 CONTRA COSTA BLVD
-----------------------------------------------------
City | PLEASANT HILL
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94523-3034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-839-0289
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4100 ALHAMBRA AVE UNIT 2672
-----------------------------------------------------
City | MARTINEZ
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94553-8856
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 925-839-0289
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | LMFT
-----------------------------------------------------
Name | JESSICA K SMITH
-----------------------------------------------------
Credential | MA
-----------------------------------------------------
Telephone | 925-839-0289
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 106H00000X
-----------------------------------------------------
Taxonomy Name | Marriage & Family Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------