Lutheran Social Services of Southern California

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA

Practice address

41945 Big Bear Blvd Ste 222
Big Bear Lake, CA 92315-2030

Phone

(909) 866-5070

Fax

(909) 878-3228

NPI assigned

Nov 5, 2019

Last updated

Nov 5, 2019By 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

Dalilah Narda HernandezNPI 1225522667

Title

Facilitator

Phone

(909) 866-5070

Specialties & licenses 1

Addresses

Electronic endpoints 1

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.

• Dalilah Narda Hernandez

  • Counselor
  • Big Bear Lake, CA
  • NPI 1225522667
  Authorized official Same address or phone

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572912000000",
    "number": "1144864984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41945 BIG BEAR BLVD STE 222",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152030",
            "telephone_number": "909-866-5070",
            "fax_number": "909-878-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41945 BIG BEAR BLVD STE 222",
            "city": "BIG BEAR LAKE",
            "state": "CA",
            "postal_code": "923152030",
            "telephone_number": "909-866-5070",
            "fax_number": "909-878-3228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUTHERAN SOCIAL SERVICES OF SOUTHERN CALIFORNIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-05",
        "last_updated": "2019-11-05",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "DALILAH",
        "authorized_official_middle_name": "NARDA",
        "authorized_official_title_or_position": "FACILITATOR",
        "authorized_official_telephone_number": "909-866-5070"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "NA",
            "affiliation": "N",
            "address_1": "41945 Big Bear Blvd Ste 222",
            "city": "Big Bear Lake",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923152030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kita Lastrape
• Christopher Leavitt
• Darlene Logan
• Tasha Nicole Lowery, FNP-C
• Kimberly Luke
• Lutheran Social Services of Southern California (Lutheran Social Services)
• Lutheran Social Services of Southern California (LSS)
• Lutheran Social Services of Southern California
• Lutheran Social Services of Southern California (Lutheran Social Services)
• Mark E Wandel (Big Bear Valley Medical Arts Pharmacy)

• Mental Health Counselor in Big Bear Lake, CA
• Providers in Big Bear Lake, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.