Organization Active NPI

Selah Counseling Center, a Licensed Clinical Social Worker Corporation

  • Clinical Social Worker
  • Arcadia, CA
National Provider Identifier
1205441045
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SELAH COUNSELING CENTER, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
Practice address
440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775
Phone
(626) 515-4202
NPI assigned
Sep 9, 2020
Last updated
Dec 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Authorized official

Name
Jasmine Anneth Vasquez, LCSW
Title
LCSW/Owner
Phone
(626) 515-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775

Mailing address

440 E Huntington Dr Ste 300
Arcadia, CA 91006-3775
Phone (626) 515-4202

Other practice location 1

1111 W Covina Blvd Ste 110
San Dimas, CA 91773-3205
Phone (626) 515-4202

National Provider Directory

National Provider Directory

Locations

1111 W Covina Blvd
Ste 110
San Dimas, CA 91773
Phone (626) 515-4202

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735516800000",
    "number": "1205441045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063775",
            "telephone_number": "626-515-4202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 E HUNTINGTON DR STE 300",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910063775",
            "telephone_number": "626-515-4202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 W Covina Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "San Dimas",
            "state": "CA",
            "postal_code": "917733205",
            "country_code": "US",
            "telephone_number": "626-515-4202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SELAH COUNSELING CENTER, A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-09",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A",
        "authorized_official_last_name": "VASQUEZ",
        "authorized_official_first_name": "JASMINE",
        "authorized_official_middle_name": "ANNETH",
        "authorized_official_title_or_position": "LCSW/OWNER",
        "authorized_official_telephone_number": "626-515-4202",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.