George P Kollasch, CA LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

126647 Issued in CA

Practice address

1129 Midnight Way
Oceanside, CA 92057

Phone

(858) 344-4392

NPI assigned

Jul 13, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1174195978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1129 MIDNIGHT WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92057",
            "telephone_number": "858-344-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 MIDNIGHT WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92057",
            "telephone_number": "858-344-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLASCH",
        "first_name": "GEORGE",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "CA LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "1375",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "126647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Oceanside",
            "affiliation": "N",
            "address_1": "1129 Midnight Way",
            "city": "Oceanside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "92057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• John Joseph Koch, MD
• Dustin Raymond Kocol, MD
• Kieran Alyssa Koehler, PT, DPT
• Alice Koh
• Brittany Nicole Kohler
• Gregory Leonard Koontz, DMD
• Margot B Kopley, PSY D
• Aleksandr Kovalskiy, MD
• Lily Kozakowski, DO
• Amy Krajec, RN

• Marriage & Family Therapist in Oceanside, CA
• Providers in Oceanside, 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 Jul 13, 2021; 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.