NPIMap

Organization Active NPI

Counseling & Behavioral Specialists

  • Community/Behavioral Health Agency
  • La Mesa, CA
National Provider Identifier
1104217801
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
IMF84197 Issued in CA
Legal business name
COUNSELING & BEHAVIORAL SPECIALISTS
Practice address
4700 Spring St
Ste 203
La Mesa, CA 91942-0263
Phone
(619) 697-0470
Fax
(619) 697-0505
NPI assigned
Feb 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Authorized official

Name
Ms. Peggy M. Baker
Title
Billing/Credentialing
Phone
(619) 697-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X IMF84197 CA Primary

Addresses

Primary practice location

4700 Spring St
Ste 203
La Mesa, CA 91942-0263

Mailing address

4700 Spring St
Ste 203
La Mesa, CA 91942-0263
Phone (619) 697-0470

National Provider Directory

National Provider Directory
Tax ID family
Counseling Behavioral Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1424131200000",
    "number": "1104217801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "STE 203",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420263",
            "telephone_number": "619-697-0470",
            "fax_number": "619-697-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SPRING ST",
            "address_2": "STE 203",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919420263",
            "telephone_number": "619-697-0470",
            "fax_number": "619-697-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & BEHAVIORAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A",
        "authorized_official_last_name": "BAKER",
        "authorized_official_first_name": "PEGGY",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "BILLING/CREDENTIALING",
        "authorized_official_telephone_number": "619-697-0470",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "IMF84197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.