Beachside Counseling

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC41086 Issued in CA

Legal business name

BEACHSIDE COUNSELING

Practice address

200 S 13TH St
Ste. 105
Grover Beach, CA 93433-3302

Phone

(805) 202-8988

Fax

(805) 202-8980

NPI assigned

Jun 17, 2011

Last updated

Jun 17, 2011By 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

Mr. Nyle FriesenNPI 1629147616

Title

Owner/Operator

Phone

(805) 202-8988

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Nyle Kenneth Friesen, MFC

  • Marriage & Family Therapist
  • Grover Beach, CA
  • NPI 1629147616
  NPD (past) Authorized official

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

{
    "created_epoch": "1308268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1083909022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S 13TH ST",
            "address_2": "STE. 105",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934333302",
            "telephone_number": "805-202-8988",
            "fax_number": "805-202-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S 13TH ST",
            "address_2": "STE. 105",
            "city": "GROVER BEACH",
            "state": "CA",
            "postal_code": "934333302",
            "telephone_number": "805-202-8988",
            "fax_number": "805-202-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHSIDE COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-17",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "FRIESEN",
        "authorized_official_first_name": "NYLE",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "805-202-8988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roman Ayon
• Bethany Bancroft, SLP
• Leslie Barber, LMFT
• Lawrence Alan Bardach, OTR / L
• Leslie Charon Barton, LMFT
• River Benyair
• Steven Alan Bernfeld, D.C.
• Robert Leslie Bishop, D.D.S.
• Elisha Black
• Barbara L Bliss, PHN

• Marriage & Family Therapist in Grover Beach, CA
• Providers in Grover Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2011; 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.