Active NPI
Horse Play Therapy
- Clinical Social Worker
- Huntington Beach, CA
National Provider Identifier
1134569288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS18421
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryNPI 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.