Active NPI
Tina Beth McIntire, MA
- Mental Health Counselor
- Santee, CA
National Provider Identifier
1184769648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 9905 Prospect Ave
Santee, CA 92071-4318 - Phone
- (619) 333-9003
- NPI assigned
- Feb 21, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LADAC LR 160 112 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CADAC II A677011 | CA |
Addresses
Primary practice location
9905 Prospect Ave
Santee, CA 92071-4318
Mailing address
PO Box 862
Pine Valley, CA 91962-0862
Phone (619) 322-7776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CADAC II A677011 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| LADAC LR 160 112 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372723200000",
"number": "1184769648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 862",
"city": "PINE VALLEY",
"state": "CA",
"postal_code": "919620862",
"telephone_number": "619-322-7776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9905 PROSPECT AVE",
"city": "SANTEE",
"state": "CA",
"postal_code": "920714318",
"telephone_number": "619-333-9003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCINTIRE",
"first_name": "TINA",
"middle_name": "BETH",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-21",
"last_updated": "2013-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LADAC LR 160 112",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CADAC II A677011",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santee, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.