Active NPI
Selah Counseling Center, a Licensed Clinical Social Worker Corporation
- Clinical Social Worker
- Arcadia, CA
National Provider Identifier
1205441045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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, 2024
- 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
- Jasmine Anneth Vasquez, LCSW
- Title
- LCSW/Owner
- Phone
- (626) 515-4202
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Clinical Social Worker
- Arcadia, CA
- NPI 1093002859
-
- Marriage & Family Therapist
- San Dimas, CA
- NPI 1134704661
-
- Professional Counselor
- San Dimas, CA
- NPI 1477263481
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.