Active NPI
Carol J Timmons
- Adult Mental Health Clinic/Center
- Costa Mesa, CA
National Provider Identifier
1063964476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 29736
- Legal business name
- CAROL J TIMMONS
- Practice address
- 2900 Bristol St
BLDG. J-206
Costa Mesa, CA 92626-5981 - Phone
- (714) 751-3370
- NPI assigned
- Nov 2, 2016
- 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
- Ms. Carol Jean Timmons, LMFT
- Title
- Marriage Family Therapist
- Phone
- (714) 751-3370
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 29736 | CA | Primary |
Addresses
Primary practice location
2900 Bristol St
BLDG. J-206
Costa Mesa, CA 92626-5981
Mailing address
2900 Bristol St
BLDG. J-206
Costa Mesa, CA 92626-5981
Phone (714) 751-3370
National Provider Directory
National Provider DirectoryLocations
2900 Bristol St
Ste J206
Costa Mesa, CA 92626
Phone (949) 244-5336
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Costa Mesa, CA
- NPI 1477437507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1478044800000",
"number": "1063964476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 BRISTOL ST",
"address_2": "BLDG. J-206",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265981",
"telephone_number": "714-751-3370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 BRISTOL ST",
"address_2": "BLDG. J-206",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926265981",
"telephone_number": "714-751-3370"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CAROL J TIMMONS",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-02",
"last_updated": "2016-11-02",
"status": "A",
"authorized_official_last_name": "TIMMONS",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "MARRIAGE FAMILY THERAPIST",
"authorized_official_telephone_number": "714-751-3370",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CA",
"license": "29736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 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.