Community Service Counseling Centers

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

25700 Issued in CA

Legal business name

COMMUNITY SERVICE COUNSELING CENTERS

Doing business as

Hands Extended

Practice address

1151 Dove St
285
Newport Beach, CA 92660-2840

Phone

(949) 261-5765

NPI assigned

Jan 31, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gregory Stewart Mimm, MFTNPI 1518928324

Title

Secretary Treasurer

Phone

(949) 261-5765

Specialties & licenses 1

Addresses

Other names 1

• Hands Extended Doing business as

Practitioners 1

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.

• Gregory Stewart Mimm, MFT 25700 CALIFORNIA

  • Marriage & Family Therapist
  • Newport Beach, CA
  • NPI 1518928324
  NPD (past) Authorized official

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225175086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST",
            "address_2": "285",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602840",
            "telephone_number": "949-261-5765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 DOVE ST",
            "address_2": "285",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602840",
            "telephone_number": "949-261-5765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SERVICE COUNSELING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIMM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "949-261-5765",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "25700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hands Extended",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela Maria Colombo, M.D.
• Nathan Louis Colon, MD
• Natalie Colosimo
• Jeannie Colvin, MFT
• Kathline M. Colvin, PH.D.
• Compass Therapy LLC
• John Compoginis, M.D.
• Laura Conahan, FNP
• Michelle Conboy, MFT
• Faith Concienne

• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• 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.

Verify at the official NPI Registry.