Organization Active NPI

Horse Play Therapy

  • Clinical Social Worker
  • Huntington Beach, CA
National Provider Identifier
1134569288
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS18421 Issued in CA
Legal business name
HORSE PLAY THERAPY
Practice address
18381 Goldenwest St
Huntington Beach, CA 92648-1107
Phone
(949) 887-1612
Fax
(714) 842-7774
NPI assigned
Jul 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Dr. Carole Anne Harris, LCSW, PSYD
Title
Psychotherapist
Phone
(949) 887-1612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LCS18421 CA Primary

Addresses

Primary practice location

18381 Goldenwest St
Huntington Beach, CA 92648-1107

Mailing address

18381 Goldenwest St
Huntington Beach, CA 92648-1107
Phone (949) 887-1612

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1134569288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18381 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481107",
            "telephone_number": "949-887-1612",
            "fax_number": "714-842-7774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18381 GOLDENWEST ST",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481107",
            "telephone_number": "949-887-1612",
            "fax_number": "714-842-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSE PLAY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-02",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "949-887-1612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW, PSYD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS18421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; 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.