PALOMAR FAMILY COUNSELING SERVICE, INC. (NPI# 1972704930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972704930 |
| Entity Type | Organization |
| Organization Name | PALOMAR FAMILY COUNSELING SERVICE, INC. |
| Other Organization Name | PALOMAR FAMILY COUNSELING SERVICE FALLBROOK |
| Practice Address |
120 W Hawthorne St Fallbrook CA 92028-2053 |
| Mailing Address |
1002 E Grand Ave Escondido CA 92025-4605 |
| Practice Telephone | 7607313235 |
| Practice Fax Number | 7607314950 |
| Mailing Telephone | 7607412660 |
| Mailing Fax Number | 7607412647 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. IRENE SAPER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7607412660 |
| Authorized Official Credential | LCSW, MFT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | ========= | CA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDI-CAL PROVIDER NUMBER | 37HB | 01 |
| Other Name | Type Code |
|---|---|
| Palomar Family Counseling Service Fallbrook | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952521148 | Palomar Family Counseling Service, Inc. | Community/Behavioral Health | 12951 Metate Lane, Poway, CA 92064 | 2007-04-27 |
| 1437379039 | Palomar Family Counseling Service, Inc. | Community/Behavioral Health | 945 Vale Terrace Dr, Vista, CA 92084-5213 | 2007-04-26 |
| 1215180955 | Palomar Family Counseling Service, Inc. | Early Intervention Provider Agency | 1002 E Grand Ave, Escondido, CA 92025-4605 | 2008-10-28 |
| 1073714028 | Palomar Family Counseling Service, Inc. | Community/Behavioral Health | 1002 E Grand Ave, Escondido, CA 92025-4605 | 2007-05-29 |
| 1548480221 | Palomar Family Counseling Service, Inc. | Community/Behavioral Health | 1002 E Grand Ave, Escondido, CA 92025-4605 | 2007-04-26 |
| 1346372992 | Palomar Family Counseling Service, Inc. | Community/Behavioral Health | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2007-03-09 |
| Street Address |
120 W HAWTHORNE ST |
| City | FALLBROOK |
| State | CA |
| Zip Code | 92028-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366574980 | Tracy Lynn Gereau | Marriage & Family Therapist | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2007-03-09 |
| 1063038784 | Jessica Marie Pedroza | Marriage & Family Therapist | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2020-06-18 |
| 1467913277 | Diana Elizabeth Lopez | Case Manager/Care Coordinator | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2019-03-26 |
| 1790119543 | Rhiannon Holly Martin | Marriage & Family Therapist | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2013-08-29 |
| 1467752618 | Veronica Arvizu-mendoza | Social Worker | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2010-10-21 |
| 1982804845 | Celeste Marie Dimilla | Counselor | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2007-07-19 |
| 1295858678 | Jose Benavides | Counselor | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2007-04-09 |
| 1144343120 | Dyan Savery | Marriage & Family Therapist | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2007-04-06 |
| 1972635514 | Agustin A Ortiz | Marriage & Family Therapist | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2007-03-09 |
| 1790817302 | Patricia Ann Wrolson | Marriage & Family Therapist | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2007-03-09 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396235727 | Mmr Dme | Durable Medical Equipment & Medical Supplies | 1116 S Main Ave, Fallbrook, CA 92028 | 2018-05-10 |
| 1245616119 | Brett Christian Wootton | General Acute Care Hospital | 325 Potter Street, Fallbrook, CA 92028 | 2015-08-03 |
| 1215375852 | Ashley Stein Araiza | Dentist | 304 N Orange Ave, Fallbrook, CA 92028 | 2013-06-05 |
| 1063794253 | Elizabeth Ann Nestor | Developmental Therapist | 4164 Lake Circle Dr, Fallbrook, CA 92028 | 2011-09-13 |
| 1639460173 | Narciso Hernandez | Case Manager/Care Coordinator | 120 W Hawthone, Fallbrook, CA 92028 | 2011-05-02 |
| 1699961755 | Susana Bowen | Registered Nurse | 628 East Elder, Fallbrook Hospital, Fallbrook, CA 92028 | 2007-09-21 |
| 1912190869 | Helena Holmes Morrison | Social Worker | 2068a E. Mission Rd., Fallbrook, CA 92028 | 2007-08-23 |
| 1831311059 | Eric J Ramos, A Proffesional Corp | Optometrist | 645 E. Elder St. Ste D, Fallbrook, CA 92028 | 2007-05-03 |
| 1578617551 | Gregory Dean Montague | Dentist | 304 East Mission Road, Suite C, Fallbrook, CA 92028 | 2007-01-23 |
| 1629120944 | Michele H Germain | Social Worker | 577 E Elder, Suite F, Fallbrook, CA 92028 | 2007-01-17 |
| Find all providers in zip 92028 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982187787 | Joni C Branham Licensed Clinical Social Worker Inc | Community/Behavioral Health | 645 E Elder St Ste B, Fallbrook, CA 92028-3084 | 2018-09-08 |
| 1639343544 | Mental Health Systems, Inc. | Community/Behavioral Health | 591 E Elder St Ste C, Fallbrook, CA 92028-5001 | 2008-04-22 |
| 1932630977 | Mental Health Systems, Inc. | Community/Behavioral Health | 2400 S Stage Coach Ln, Fallbrook, CA 92028-4429 | 2017-03-22 |
| 1346372992 | Palomar Family Counseling Service, Inc. | Community/Behavioral Health | 120 W Hawthorne St, Fallbrook, CA 92028-2053 | 2007-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740881861 | Griselda Tuchan Pineda Marriage and Family Therapist Inc | Community/Behavioral Health | 2820 S Vermont Ave Ste 16, Los Angeles, CA 90007-2291 | 2020-11-04 |
| 1013518687 | Turning Point of Central California, Inc. | Community/Behavioral Health | 3636 N 1st St Ste 112, Fresno, CA 93726-6818 | 2020-11-02 |
| 1588264113 | Licensed Clinical Social Worker Community Alliance PC | Community/Behavioral Health | 301 S 23rd St, Richmond, CA 94804-2807 | 2020-11-01 |
| 1134729718 | Cynthia Felicia Delaney | Community/Behavioral Health | 4887 Bella Pacific Row Unit 240, San Diego, CA 92109-8515 | 2020-10-31 |
| 1114527637 | Clarke-lauren Stevenson Richard | Community/Behavioral Health | 1277 E Loma Linda Ave, Fresno, CA 93720-2668 | 2020-10-26 |
| 1891395232 | Jacqulyn Danielle Rios | Community/Behavioral Health | 4604 W Douglas Ave Apt 103, Visalia, CA 93291-4195 | 2020-10-26 |
| 1346849213 | Greystone Behavioral Health Nursing Inc | Community/Behavioral Health | 231 E Alessandro Blvd Ste A438, Riverside, CA 92508-5084 | 2020-10-22 |
| 1376142216 | Melissa Reyes Aguilar | Community/Behavioral Health | 2248 S Cochran Ave, Los Angeles, CA 90016-1218 | 2020-10-21 |
| 1578162616 | Bayfront Healthcare Services | Community/Behavioral Health | 2703 N Studebaker Rd, Long Beach, CA 90815-1628 | 2020-10-20 |
| 1326647686 | Sierra Child & Family Services | Community/Behavioral Health | 564 Mountain Ranch Rd Ste 5, San Andreas, CA 95249-9782 | 2020-10-19 |
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| 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.