NPIMap

Organization Active NPI

The Soul Care House

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1255703823
Registry record updated Oct 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF87455 Issued in CA
Legal business name
THE SOUL CARE HOUSE
Practice address
1427 W Lewis St
San Diego, CA 92103-1711
Phone
(602) 690-8021
NPI assigned
Oct 22, 2015
Last updated
Oct 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2015

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

Authorized official

Name
Mrs. Kelly Catherine Limmer
Title
Marriage and Family Therapy Intern
Phone
(602) 690-8021

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF87455 CA Primary

Addresses

Primary practice location

1427 W Lewis St
San Diego, CA 92103-1711

Mailing address

1427 W Lewis St
San Diego, CA 92103-1711
Phone (602) 690-8021

National Provider Directory

National Provider Directory
Tax ID family
The Soul Care House2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445472000000",
    "number": "1255703823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1427 W LEWIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031711",
            "telephone_number": "602-690-8021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1427 W LEWIS ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031711",
            "telephone_number": "602-690-8021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE SOUL CARE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-22",
        "last_updated": "2015-10-22",
        "status": "A",
        "authorized_official_last_name": "LIMMER",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "CATHERINE",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPY INTERN",
        "authorized_official_telephone_number": "602-690-8021",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF87455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; 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.