Organization Active NPI

Kathleen Rapp, Licensed Clinical Social Worker a PC

  • Mental Health Counselor
  • Solana Beach, CA
National Provider Identifier
1063874014
Registry record updated Apr 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCS12202 Issued in CA
Legal business name
KATHLEEN RAPP, LICENSED CLINICAL SOCIAL WORKER A PC
Practice address
767 Academy Dr
Solana Beach, CA 92075-2031
Phone
(858) 793-4580
Fax
(858) 793-4406
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2016

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

Authorized official

Name
Kathleen Rapp, LCSW
Title
Ceo
Phone
(858) 793-4580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X LCS12202 CA Primary

Addresses

Primary practice location

767 Academy Dr
Solana Beach, CA 92075-2031

Mailing address

767 Academy Dr
Solana Beach, CA 92075-2031
Phone (858) 793-4580

National Provider Directory

National Provider Directory

Locations

767 Academy Dr
Solana Beach, CA 92075
Phone (858) 461-9295

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461110400000",
    "number": "1063874014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "767 ACADEMY DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752031",
            "telephone_number": "858-793-4580",
            "fax_number": "858-793-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "767 ACADEMY DR",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920752031",
            "telephone_number": "858-793-4580",
            "fax_number": "858-793-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHLEEN RAPP, LICENSED CLINICAL SOCIAL WORKER A PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-04-20",
        "status": "A",
        "authorized_official_last_name": "RAPP",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-793-4580",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS12202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.