Organization Active NPI

Sol Family Counseling Inc

  • Marriage & Family Therapist
  • Harbor City, CA
National Provider Identifier
1013677566
Registry record updated Mar 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SOL FAMILY COUNSELING INC
Practice address
24328 Vermont Ave Ste 217
Harbor City, CA 90710-2316
Phone
(310) 941-2597
Fax
(855) 882-5621
NPI assigned
Dec 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2024

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

Authorized official

Name
Mrs. Soledad Rodriguez Querejazu, LMFT
Title
Director
Phone
(310) 941-2597

Specialties & licenses 1

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

Addresses

Primary practice location

24328 Vermont Ave Ste 217
Harbor City, CA 90710-2316

Mailing address

24328 Vermont Ave Ste 224
Harbor City, CA 90710-2317
Phone (310) 941-2597

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240318001138 CA Part B Supplier - Clinic/Group Practice 4385081090 Receives reassigned benefits from 1 practitioner
Practice locations: Harbor City, CA

National Provider Directory

National Provider Directory

Locations

24328 Vermont Ave
Ste 217
Harbor City, CA 90710
Phone (310) 941-2597

Practitioners & affiliated clinicians

Practitioners 1

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": "1640476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710201600000",
    "number": "1013677566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24328 VERMONT AVE STE 224",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102317",
            "telephone_number": "310-941-2597",
            "fax_number": "855-882-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24328 VERMONT AVE STE 217",
            "city": "HARBOR CITY",
            "state": "CA",
            "postal_code": "907102316",
            "telephone_number": "310-941-2597",
            "fax_number": "855-882-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-26",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A",
        "authorized_official_last_name": "QUEREJAZU",
        "authorized_official_first_name": "SOLEDAD",
        "authorized_official_middle_name": "RODRIGUEZ",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "310-941-2597",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harbor City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.