Organization Active NPI

Midwest Counseling and Family Services Inc.

  • Mental Health Counselor
  • San Dimas, CA
National Provider Identifier
1225506983
Registry record updated Nov 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MIDWEST COUNSELING AND FAMILY SERVICES INC.
Practice address
448 E Foothill Blvd Ste 210
San Dimas, CA 91773-1221
Phone
(951) 364-4775
NPI assigned
Nov 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2018

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

Authorized official

Name
Miss Kendra Theroith, LMFTNPI 1134401672
Title
Clinical Director
Phone
(951) 364-4775

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

448 E Foothill Blvd Ste 210
San Dimas, CA 91773-1221

Mailing address

8605 Santa Monica Blvd # 98038
West Hollywood, CA 90069-4109
Phone (951) 364-4775

National Provider Directory

National Provider Directory

Locations

448 E Foothill Blvd
Ste 210
San Dimas, CA 91773
Phone (951) 364-4775

8605 Santa Monica Blvd
#98038
West Hollywood, CA 90069

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": "1541808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541808000000",
    "number": "1225506983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8605 SANTA MONICA BLVD # 98038",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694109",
            "telephone_number": "951-364-4775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "448 E FOOTHILL BLVD STE 210",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917731221",
            "telephone_number": "951-364-4775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST COUNSELING AND FAMILY SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-10",
        "last_updated": "2018-11-10",
        "status": "A",
        "authorized_official_last_name": "THEROITH",
        "authorized_official_first_name": "KENDRA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "951-364-4775",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2018; 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.