Coalition of Counseling Centers

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY3789 Issued in CA

Legal business name

COALITION OF COUNSELING CENTERS

Practice address

8321 Greenback LN
Fair Oaks, CA 95628

Phone

(916) 726-4642

Fax

(916) 726-7580

NPI assigned

Oct 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Glyn Brian Jones

Title

Cfo/Psychologist

Phone

(530) 268-1146

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235224809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13560 MESA DRIVE",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "95949",
            "telephone_number": "530-268-1146",
            "fax_number": "530-268-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8321 GREENBACK LN",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "95628",
            "telephone_number": "916-726-4642",
            "fax_number": "916-726-7580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COALITION OF COUNSELING CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "GLYN",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CFO/PSYCHOLOGIST",
        "authorized_official_telephone_number": "530-268-1146",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY3789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Psychologist 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.