Organization Active NPI

Elite Mental Health and Family Therapy

  • Community/Behavioral Health Agency
  • Dana Point, CA
National Provider Identifier
1245990779
Registry record updated Dec 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ELITE MENTAL HEALTH AND FAMILY THERAPY
Practice address
32412 Crown Valley Pkwy Apt 202
Dana Point, CA 92629-3336
Phone
(949) 482-5937
NPI assigned
Dec 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2021

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

Authorized official

Name
Jordan Bunting, LMFTNPI 1801369863
Title
Ceo
Phone
(949) 482-5937

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
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

32412 Crown Valley Pkwy Apt 202
Dana Point, CA 92629-3336

Mailing address

32412 Crown Valley Pkwy Apt 202
Dana Point, CA 92629-3336
Phone (949) 482-5937

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL admin@elitementalhealthca.com Direct

National Provider Directory

National Provider Directory

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": "1640304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640304000000",
    "number": "1245990779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32412 CROWN VALLEY PKWY APT 202",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293336",
            "telephone_number": "949-482-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32412 CROWN VALLEY PKWY APT 202",
            "city": "DANA POINT",
            "state": "CA",
            "postal_code": "926293336",
            "telephone_number": "949-482-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE MENTAL HEALTH AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-24",
        "last_updated": "2021-12-24",
        "certification_date": "2021-12-24",
        "status": "A",
        "authorized_official_last_name": "BUNTING",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-482-5937",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "admin@elitementalhealthca.com",
            "affiliation": "N",
            "endpointDescription": "Company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "32412 Crown Valley Pkwy Apt 202",
            "city": "Dana Point",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926293336",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Dec 24, 2021; 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.