Active NPI
Badis Therapy LMFT Inc
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1154138311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- BADIS THERAPY LMFT INC
- Practice address
- 3441 39TH St
San Diego, CA 92105-3307 - Phone
- (909) 219-0274
- Fax
- (619) 209-3092
- NPI assigned
- Dec 11, 2024
- Last updated
- Dec 11, 2024
- 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
- Mr. Nicholas W Badis, LMFT
- Title
- Ceo
- Phone
- (909) 219-0274
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3441 39TH St
San Diego, CA 92105-3307
Mailing address
3441 39TH St
San Diego, CA 92105-3307
Phone (909) 219-0274
National Provider Directory
National Provider DirectoryPractitioners & 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": "1733875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733875200000",
"number": "1154138311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3441 39TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921053307",
"telephone_number": "909-219-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3441 39TH ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921053307",
"telephone_number": "909-219-0274",
"fax_number": "619-209-3092"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BADIS THERAPY LMFT INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-11",
"last_updated": "2024-12-11",
"certification_date": "2024-12-11",
"status": "A",
"authorized_official_last_name": "BADIS",
"authorized_official_first_name": "NICHOLAS",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "909-219-0274",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LMFT"
},
"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 San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.