Coastal Connections Therapy and Counseling Services Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

COASTAL CONNECTIONS THERAPY AND COUNSELING SERVICES INC.

Practice address

1679 E Main St Ste 101
El Cajon, CA 92021-5253

Phone

(808) 209-0897

NPI assigned

Jun 10, 2022

Organization subpart

No

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

Authorized official

Name

Alexa Cook

Title

Owner

Phone

(808) 209-0897

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1654819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1154051415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 CAMINITO NIQUEL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921173620",
            "telephone_number": "808-209-0897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1679 E MAIN ST STE 101",
            "city": "EL CAJON",
            "state": "CA",
            "postal_code": "920215253",
            "telephone_number": "808-209-0897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL CONNECTIONS THERAPY AND COUNSELING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-10",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "ALEXA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-209-0897"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in El Cajon, CA
• Providers in El Cajon, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.