IDENTICORP (NPI# 1528404316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528404316 |
| Entity Type | Organization |
| Organization Name | IDENTICORP |
| Other Organization Name | MOLTER COUNSELING |
| Practice Address |
27001 La Paz Rd Ste 401 Mission Viejo CA 92691-5502 |
| Mailing Address |
19389 Live Oak Canyon Rd Trabuco Canyon CA 92679-3037 |
| Practice Telephone | 9497420669 |
| Practice Fax Number | 9498585431 |
| Mailing Telephone | 9497420669 |
| Mailing Fax Number | 9498585431 |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2013-05-20 |
| Authorized Official Name | MR. JAMES ROBERT MOLTER (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 9497420669 |
| Authorized Official Credential | M.F.T. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MFC46277 | CA | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MFC46701 | CA | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Molter Counseling | Doing Business As Name - Organization |
| Street Address |
27001 LA PAZ RD STE 401 |
| City | MISSION VIEJO |
| State | CA |
| Zip Code | 92691-5502 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748247 | Sonja Wood | Registered Nurse | 92691 Avenida Deseo, Mission Viejo, CA 92691 | 2020-04-09 |
| 1912488487 | Garfield Beach Cvs LLC | Durable Medical Equipment & Medical Supplies | 27551 Puerta Real, Mission Viejo, CA 92691 | 2018-08-23 |
| 1518457704 | Leon Baginski Md Inc | Obstetrics & Gynecology | 26800 Crown Valley Pkwy Ste 560, Mission Viejo, CA 92691 | 2018-05-14 |
| 1215426762 | Gail G Warner | Marriage & Family Therapist | 26050 Acero, Suite 301, Mission Viejo, CA 92691 | 2018-05-09 |
| 1508354176 | Tania Choudhary | Student in an Organized Health Care Education/Training Program | 23595 Rangoon St, Mission Viejo, CA 92691 | 2018-04-28 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1487162707 | Alberto Israel Galicia | Case Manager/Care Coordinator | 27261 Las Ramblas, Suite 220, Mission Viejo, CA 92691 | 2018-01-22 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1639694227 | Dr. Horiyat, A Dental Corporation | Dentist | 27652 Crown Valley Parkway, Mission Viejo, CA 92691 | 2017-08-04 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| Find all providers in zip 92691 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659985935 | Edward Solis | Counselor | 25402 Pacifica Ave # D, Mission Viejo, CA 92691-3854 | 2020-09-03 |
| 1710486519 | Aubriana Denise Gray | Counselor | 25802 Pacifica Ave, Mission Viejo, CA 92691 | 2018-02-07 |
| 1790290369 | Marc Cameron | Counselor | 26131 Marguerite Pkwy Suite A, Mission Viejo, CA 92692-4400 | 2017-12-05 |
| 1629595244 | Elisabeth A Lischer | Counselor | 26137 La Paz Road, Suite 230, Mission Viejo, CA 92691 | 2017-08-24 |
| 1295251288 | Chase Snow Boyle | Counselor | 27356 Ventosa, Mission Viejo, CA 92691-2137 | 2017-08-21 |
| 1255851689 | Jackelin Liseth Martinez | Counselor | 25402 Pacifica Avenue, Mission Viejo, CA 92691 | 2017-06-27 |
| 1205205655 | New Attitude Recovery Center LLC | Counselor | 27285 Las Ramblas #b110, Mission Viejo, CA 92691 | 2015-09-16 |
| 1922476621 | Turning Point Treatment Center, Inc | Counselor | 24851 Via Santa Cruz, Mission Viejo, CA 92692-2437 | 2015-09-11 |
| 1780071837 | Karla Michelle Junes | Counselor | 27261 Las Ramblas Ste 2220, Mission Viejo, CA 92691-6441 | 2015-04-16 |
| 1487953030 | Rosa Maria Izquierdo | Counselor | 26050 Acero Ste 320, Mission Viejo, CA 92691-2768 | 2011-03-22 |
| Find all providers in MISSION VIEJO | ||||
| City | MISSION VIEJO |
| Zip Code | 92691 |
Please comment or provide details below to improve the information on IDENTICORP.
| 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.