COUNSELING ASSOCIATES OF THE SOUTHLAND, INCORPORATED (NPI# 1255816898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255816898 |
| Entity Type | Organization |
| Organization Name | COUNSELING ASSOCIATES OF THE SOUTHLAND, INCORPORATED |
| Practice Address |
680 Langsdorf Dr Ste 219 Fullerton CA 92831-3702 |
| Practice Telephone | 7145780990 |
| Practice Fax Number | 7144499252 |
| Mailing Telephone | 7145780990 |
| Mailing Fax Number | 7144499252 |
| Enumeration Date | 2018-09-29 |
| Last Update Date | 2019-09-03 |
| Authorized Official Name | REGINA CATHERINE PECK-SOBOLEWSKI (OWNER) |
| Authorized Official Telephone | 6263676269 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
680 LANGSDORF DR STE 219 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3702 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437240918 | Debbie Lynn Miranda-bristol | Marriage & Family Therapist | 680 Langsdorf Dr Ste 219, Fullerton, CA 92831 | 2006-09-27 |
| 1992278055 | Natalie Marie Wyatt | Counselor | 680 Langsdorf Dr Ste 219, Fullerton, CA 92831-3702 | 2019-01-10 |
| 1942550355 | Sylwia Kmita | Marriage & Family Therapist | 680 Langsdorf Dr Ste 219, Fullerton, CA 92831-3702 | 2012-09-12 |
| 1942414792 | Joe F. Chiu, Md, A Professional Corp | Psychiatry & Neurology | 680 Langsdorf Dr Ste 219, Fullerton, CA 92831-3702 | 2007-05-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
| Find all providers in zip 92831 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164036240 | High Hopes Counseling Foundation, Inc | Clinic/Center | 733 E Chapman Ave, Fullerton, CA 92831-3805 | 2020-09-04 |
| 1619083946 | Health Group Psychological Services Inc | Clinic/Center | 680 Langsdorf Dr, Ste 219, Fullerton, CA 92831 | 2006-08-21 |
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| 1184238875 | Integrative Psychotherapy Group, A Marriage and Family Therapy Corp | Clinic/Center | 311 N Robertson Blvd Ste 718, Beverly Hills, CA 90211-1705 | 2020-09-01 |
| 1962016527 | Los Angeles County Department of Mental Health | Clinic/Center | 2934 E Garvey Ave South Ste 230, West Covina, CA 91791-6101 | 2020-09-01 |
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on COUNSELING ASSOCIATES OF THE SOUTHLAND, INCORPORATED.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.