Southern California Counseling Center

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUTHERN CALIFORNIA COUNSELING CENTER

Practice address

5615 W Pico Blvd
Los Angeles, CA 90019-3835

Phone

(323) 937-1344

NPI assigned

Feb 28, 2023

Last updated

Feb 28, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Koch

Title

Executive Director

Phone

(323) 937-1344

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Louis Frederick

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1790374460
  NPD
• Rebecca Doppelt, MA

  • Marriage & Family Therapist
  • Los Angeles, CA
  • NPI 1063941326
  NPD (past)

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677542400000",
    "number": "1033818067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5615 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193835",
            "telephone_number": "323-937-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 W PICO BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900193835",
            "telephone_number": "323-937-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CALIFORNIA COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-28",
        "last_updated": "2023-02-28",
        "certification_date": "2023-02-28",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "323-937-1344"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reginald John Southall III
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• Michael McKinley Southerland, MS, LMFT 87924
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• Southern California Health & Rehabilitation Program
• Southern California Health & Rehabilitation Program

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.