Organization Active NPI

Affirmative Counseling and Therapy

  • Adolescent and Children Mental Health Clinic/Center
  • San Diego, CA
National Provider Identifier
1194987685
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
License
MFC33420 Issued in CA
Legal business name
AFFIRMATIVE COUNSELING AND THERAPY
Practice address
3443 Camino del Rio S
Ste. 202
San Diego, CA 92108-3903
Phone
(619) 284-8755
Fax
(619) 563-0240
NPI assigned
Jun 26, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Pamela J Alexandra, MFT
Title
President
Phone
(619) 284-8755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X MFC33420 CA Primary

Addresses

Primary practice location

3443 Camino del Rio S
Ste. 202
San Diego, CA 92108-3903

Mailing address

3443 Camino del Rio S
Ste. 202
San Diego, CA 92108-3903
Phone (619) 284-8755

National Provider Directory

National Provider Directory

Locations

3443 Camino del Rio S
Ste 202
San Diego, CA 92108
Phone (619) 270-5622

NPI Registry JSON

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

{
    "created_epoch": "1214438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1194987685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 CAMINO DEL RIO S",
            "address_2": "STE. 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083903",
            "telephone_number": "619-284-8755",
            "fax_number": "619-563-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 CAMINO DEL RIO S",
            "address_2": "STE. 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083903",
            "telephone_number": "619-284-8755",
            "fax_number": "619-563-0240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRMATIVE COUNSELING AND THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-26",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "ALEXANDRA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-284-8755",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "CA",
            "license": "MFC33420",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; 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.