Organization Active NPI

South County Therapy

  • Marriage & Family Therapist
  • Dana Point, CA
National Provider Identifier
1225339716
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
46833 Issued in CA
Legal business name
SOUTH COUNTY THERAPY
Practice address
28 Monarch Bay PLZ Ste N
Dana Point, CA 92629-3460
Phone
(949) 702-2347
Fax
(949) 493-9350
NPI assigned
Nov 15, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Mrs. Mona Dow, M.S., MFT
Title
Marriage and Family Therapist
Phone
(949) 702-2347

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 46833 CA Primary

Addresses

Primary practice location

28 Monarch Bay PLZ Ste N
Dana Point, CA 92629-3460

Mailing address

28 Monarch Bay PLZ Ste N
Dana Point, CA 92629-3460
Phone (949) 702-2347

Other identifiers 1

IdentifierTypeStateIssuer
1518137751OtherCAINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1289779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1225339716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 MONARCH BAY PLZ STE N",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293460",
            "telephone_number": "949-702-2347",
            "fax_number": "949-493-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 MONARCH BAY PLZ STE N",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293460",
            "telephone_number": "949-702-2347",
            "fax_number": "949-493-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COUNTY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-15",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "DOW",
        "authorized_official_first_name": "MONA",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "949-702-2347",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S., MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46833",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1518137751",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dana Point, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; 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.