Organization Active NPI

Santee Family Counseling Center

  • Marriage & Family Therapist
  • Santee, CA
National Provider Identifier
1003021163
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 20237 Issued in CA
Legal business name
SANTEE FAMILY COUNSELING CENTER
Practice address
9905 Prospect Ave
Santee, CA 92071-4318
Phone
(619) 449-9937
Fax
(619) 449-1401
NPI assigned
May 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Laurel Louise McIntyre, MFTNPI 1548281009
Title
MFT Partner
Phone
(619) 449-9937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT 20237 CA Primary

Addresses

Primary practice location

9905 Prospect Ave
Santee, CA 92071-4318

Mailing address

9905 Prospect Ave
Santee, CA 92071-4318
Phone (619) 449-9937

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260508003582 CA Part B Supplier - Clinic/Group Practice 4284102096 Receives reassigned benefits from 1 practitioner
Practice locations: Santee, CA

National Provider Directory

National Provider Directory

Locations

9905 Prospect Ave
Santee, CA 92071
Phone (619) 333-9003

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1003021163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9905 PROSPECT AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714318",
            "telephone_number": "619-449-9937",
            "fax_number": "619-449-1401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9905 PROSPECT AVE",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920714318",
            "telephone_number": "619-449-9937",
            "fax_number": "619-449-1401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANTEE FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-11",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "MCINTYRE",
        "authorized_official_first_name": "LAUREL",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "MFT PARTNER",
        "authorized_official_telephone_number": "619-449-9937",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 20237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.