Organization Active NPI

Counselors for Change Inc., Individual and Family Therapist Co

  • Marriage & Family Therapist
  • Montebello, CA
National Provider Identifier
1164148946
Registry record updated Oct 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COUNSELORS FOR CHANGE INC., INDIVIDUAL AND FAMILY THERAPIST CO
Practice address
1818 W Beverly Blvd Ste 207
Montebello, CA 90640-3968
Phone
(213) 238-7502
NPI assigned
Oct 13, 2022
Last updated
Oct 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2022

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

Authorized official

Name
Tina M Salazar, LMFT
Title
President
Phone
(323) 202-3860

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Primary

Addresses

Primary practice location

1818 W Beverly Blvd Ste 207
Montebello, CA 90640-3968

Mailing address

1818 W Beverly Blvd Ste 207
Montebello, CA 90640-3968
Phone (213) 238-7502

National Provider Directory

National Provider Directory

Locations

1818 W Beverly Blvd
Ste 207
Montebello, CA 90640
Phone (562) 221-8647

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665619200000",
    "number": "1164148946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1818 W BEVERLY BLVD STE 207",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403968",
            "telephone_number": "213-238-7502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 W BEVERLY BLVD STE 207",
            "city": "MONTEBELLO",
            "state": "CA",
            "postal_code": "906403968",
            "telephone_number": "213-238-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELORS FOR CHANGE INC., INDIVIDUAL AND FAMILY THERAPIST CO",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-13",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-10",
        "status": "A",
        "authorized_official_last_name": "SALAZAR",
        "authorized_official_first_name": "TINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-202-3860",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montebello, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.