San Diego Grief Counseling a Marriage and Family Therapy Corporation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SAN DIEGO GRIEF COUNSELING A MARRIAGE AND FAMILY THERAPY CORPORATION

Practice address

374 N Coast Highway 101
Encinitas, CA 92024-2542

Phone

(323) 366-8208

NPI assigned

Jan 16, 2023

Last updated

Mar 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mira Masukawa, LMFT

Title

Owner

Phone

(323) 366-8208

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1184339194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 N COAST HIGHWAY 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242542",
            "telephone_number": "323-366-8208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 N COAST HIGHWAY 101",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920242542",
            "telephone_number": "323-366-8208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN DIEGO GRIEF COUNSELING A MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-16",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "MASUKAWA",
        "authorized_official_first_name": "MIRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-366-8208",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1154892552",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "mira@sandiegogriefcounseling.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "374 N Coast Highway 101",
            "city": "Encinitas",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920242542",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Mental Health Counselor in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; 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.