Active NPI
South Coast Therapists, Inc.
- Mental Health Counselor
- Fountain Valley, CA
National Provider Identifier
1194872382
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC14233
- Legal business name
- SOUTH COAST THERAPISTS, INC.
- Practice address
- 16480 Harbor Blvd
Suite 104
Fountain Valley, CA 92708-1361 - Phone
- (714) 899-4005
- Fax
- (714) 899-4275
- NPI assigned
- Jan 3, 2007
- 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
- Kenneth Rhea, MFCC
- Title
- Owner
- Phone
- (714) 899-4005
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC14233 | CA | Primary |
| Mental Health Counselor | 101YM0800X | MFC12680 | CA | |
| Mental Health Counselor | 101YM0800X | PSY12485 | CA | |
| Mental Health Counselor | 101YM0800X | PSY9811 | CA | |
| Mental Health Counselor | 101YM0800X | A63583 | CA | |
| Mental Health Counselor | 101YM0800X | G47617 | CA | |
| Mental Health Counselor | 101YM0800X | MFC39025 | CA | |
| Mental Health Counselor | 101YM0800X | G28225 | CA |
Addresses
Primary practice location
16480 Harbor Blvd
Suite 104
Fountain Valley, CA 92708-1361
Mailing address
PO Box 4166
Huntington Beach, CA 92605-4166
Phone (714) 899-4005
National Provider Directory
National Provider DirectoryLocations
16480 Harbor Blvd
Ste 104
Fountain Vly, CA 92708
Phone (714) 775-0777
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Fountain Valley, CA
- NPI 1679608939
-
- Mental Health Counselor
- Fountain Valley, CA
- NPI 1154651222
-
- Psychiatry Physician
- Fountain Valley, CA
- NPI 1215928221
-
- Mental Health Counselor
- Fountain Valley, CA
- NPI 1275524753
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167782400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194872382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 4166",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926054166",
"telephone_number": "714-899-4005",
"fax_number": "714-899-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16480 HARBOR BLVD",
"address_2": "SUITE 104",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081361",
"telephone_number": "714-899-4005",
"fax_number": "714-899-4275"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTH COAST THERAPISTS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "RHEA",
"authorized_official_first_name": "KENNETH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "714-899-4005",
"authorized_official_credential": "MFCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC14233",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC12680",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PSY12485",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PSY9811",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "A63583",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "G47617",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC39025",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "G28225",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
- Kevin Alfredo Soto
- Rosalie Marie Soto
- Victoria Sottosanti
- South Coast Behavioral Health
- South Coast Children'S Society, Inc
- South Counties Pediatric Critical Care Medical Group
- South County Physicians Medical Group Inc.
- Southern California Center for Advanced Gynecology a Medical Corp
- Southern Califronia Specialists, Inc
- Southern Heart Clinic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.