Active NPI
Grief Solutions Counseling Center
- Substance Abuse Rehabilitation Facility
- San Jacinto, CA
National Provider Identifier
1013445147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- GRIEF SOLUTIONS COUNSELING CENTER
- Practice address
- 1119 W 7TH St
San Jacinto, CA 92582-3856 - Phone
- (844) 493-4325
- Fax
- (714) 842-7774
- NPI assigned
- Jun 2, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carole Anne Harris, LCSW, PSYD
- Title
- Cfo
- Phone
- (949) 887-1612
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCW18421 | CA | |
| Substance Abuse Rehabilitation Facility | 324500000X | Primary |
Addresses
Primary practice location
1119 W 7TH St
San Jacinto, CA 92582-3856
Mailing address
18381 Goldenwest St
Huntington Beach, CA 92648-1107
Phone (949) 887-1612
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496361600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1496361600000",
"number": "1013445147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18381 GOLDENWEST ST",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926481107",
"telephone_number": "949-887-1612",
"fax_number": "714-842-7774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1119 W 7TH ST",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925823856",
"telephone_number": "844-493-4325",
"fax_number": "714-842-7774"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRIEF SOLUTIONS COUNSELING CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2017-06-02",
"last_updated": "2017-06-02",
"status": "A",
"authorized_official_last_name": "HARRIS",
"authorized_official_first_name": "CAROLE",
"authorized_official_middle_name": "ANNE",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "949-887-1612",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LCSW, PSYD"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCW18421",
"primary": false
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jacinto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.