NPIMap

Organization Active NPI

Parent With Pride

  • Clinical Social Worker
  • Costa Mesa, CA
National Provider Identifier
1205296530
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW 66076 Issued in CA
Legal business name
PARENT WITH PRIDE
Practice address
2850 Mesa Verde Dr E
Ste. H.
Costa Mesa, CA 92626-4891
Phone
(949) 791-7452
Fax
(512) 682-1750
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Ms. Jennifer Catabas, MA, LMFT, LPCCNPI 1972791192
Title
Co-Founder
Phone
(949) 791-7452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPCC 1387 CA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCSW 66076 CA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT 49551 CA

Addresses

Primary practice location

2850 Mesa Verde Dr E
Ste. H.
Costa Mesa, CA 92626-4891

Mailing address

2850 Mesa Verde Dr E
Ste. H.
Costa Mesa, CA 92626-4891
Phone (949) 791-7452

Other identifiers 2

IdentifierTypeStateIssuer
109304017OtherCAN/A
1972791192OtherCAN/A

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1205296530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 MESA VERDE DR E",
            "address_2": "STE. H.",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264891",
            "telephone_number": "949-791-7452",
            "fax_number": "512-682-1750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 MESA VERDE DR E",
            "address_2": "STE. H.",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926264891",
            "telephone_number": "949-791-7452",
            "fax_number": "512-682-1750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARENT WITH PRIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "CATABAS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "949-791-7452",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, LMFT, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC 1387",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW 66076",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 49551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "109304017",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "1972791192",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2016; 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.