Active NPI
Opengate Soul Recovery
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1063310597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- OPENGATE SOUL RECOVERY
- Practice address
- 1640 Camino del Rio N Ste 202
San Diego, CA 92108-1523 - Phone
- (310) 879-1907
- NPI assigned
- Oct 26, 2026
- Last updated
- Oct 26, 2026
- 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
- Carnita M Jones, APCC
- Title
- Founder
- Phone
- (310) 879-1907
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1640 Camino del Rio N Ste 202
San Diego, CA 92108-1523
Mailing address
PO Box 880245
San Diego, CA 92168-0245
Phone (310) 879-1907
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1792972800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1792972800000",
"number": "1063310597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 880245",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921680245",
"telephone_number": "310-879-1907"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1640 CAMINO DEL RIO N STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921081523",
"telephone_number": "310-879-1907"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPENGATE SOUL RECOVERY",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-26",
"last_updated": "2026-10-26",
"certification_date": "2026-10-26",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "CARNITA",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "FOUNDER",
"authorized_official_telephone_number": "310-879-1907",
"authorized_official_credential": "APCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.