Organization Active NPI

Orange Owl Counseling Services

  • Mental Health Counselor
  • Redlands, CA
National Provider Identifier
1154033991
Registry record updated Dec 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ORANGE OWL COUNSELING SERVICES
Practice address
308 W State St Ste D
Redlands, CA 92373-4653
Phone
(949) 409-5781
NPI assigned
Dec 22, 2022
Last updated
Dec 22, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2022

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

Authorized official

Name
Colleen Cantania
Title
Owner
Phone
(949) 409-5781

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

308 W State St Ste D
Redlands, CA 92373-4653

Mailing address

308 W State St Ste D
Redlands, CA 92373-4653

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240201001979 CA Part B Supplier - Clinic/Group Practice 7214380682 Receives reassigned benefits from 1 practitioner
Practice locations: Redlands, CA

National Provider Directory

National Provider Directory

Locations

308 W State St
Ste D
Redlands, CA 92373
Phone (949) 409-5781

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671667200000",
    "number": "1154033991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 W STATE ST STE D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W STATE ST STE D",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923734653",
            "telephone_number": "949-409-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE OWL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-22",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A",
        "authorized_official_last_name": "CANTANIA",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-409-5781"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; 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.