NPIMap

Organization Active NPI

Mental Health Association of Orange County

  • Counselor
  • Santa Ana, CA
National Provider Identifier
1124157854
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY
Practice address
2416 S Main St
Suite a & B, Wit Court & Choices FSP
Santa Ana, CA 92707-3255
Phone
(714) 668-8498
Fax
(714) 668-8499
NPI assigned
Mar 6, 2007
Organization subpart
Yes
Parent organization
MENTAL HEALTH ASSOCIATION OF ORANGE COUNTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Mr. Jeffrey A Thrash, MFT
Title
Chief Executive Officer
Phone
(714) 547-7559

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X Primary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X

Addresses

Primary practice location

2416 S Main St
Suite a & B, Wit Court & Choices FSP
Santa Ana, CA 92707-3255

Mailing address

822 W Town and Country Rd
Wit Court & Choices FSP
Orange, CA 92868-4712
Phone (714) 547-7559

Other names 1

  • AMHS MHA WIT Court & Choices FSP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040329001622 CA Part B Supplier - Clinic/Group Practice 5597666198 Receives reassigned benefits from 17 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Anaheim, CA; Costa Mesa, CA; Lake Forest, CA; Santa Ana, CA

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Orange County Association for Mental Health8 organizations share this tax ID, including this one
Part of
Orange County Association for Mental Health

Other organizations with this tax ID 7

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

Locations

1971 E 4th St
Ste 130A
Santa Ana, CA 92705
Phone (714) 547-7559

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1124157854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "822 W TOWN AND COUNTRY RD",
            "address_2": "WIT COURT & CHOICES FSP",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684712",
            "telephone_number": "714-547-7559",
            "fax_number": "714-543-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 S MAIN ST",
            "address_2": "SUITE A & B, WIT COURT & CHOICES FSP",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927073255",
            "telephone_number": "714-668-8498",
            "fax_number": "714-668-8499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENTAL HEALTH ASSOCIATION OF ORANGE COUNTY",
        "enumeration_date": "2007-03-06",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "THRASH",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "714-547-7559",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMHS MHA WIT Court & Choices FSP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.