Imperial Beach Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

95732 Issued in CA

Legal business name

IMPERIAL BEACH COUNSELING

Doing business as

Coastal Counseling Svc

Practice address

1330 Orange Ave Ste 319
Coronado, CA 92118-2949

Phone

(619) 737-9118

NPI assigned

Oct 26, 2016

Organization subpart

No

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

Authorized official

Name

Amy Schmidt, LMFT

Title

Therapist

Phone

(619) 737-9118

Specialties & licenses 1

Addresses

Other names 1

• Coastal Counseling Svc Doing business as

Locations

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1255883179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1328",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919331328",
            "telephone_number": "619-737-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 ORANGE AVE STE 319",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182949",
            "telephone_number": "619-737-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIAL BEACH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "619-737-9118",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "95732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Coastal Counseling Svc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Coronado, CA
• Providers in Coronado, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.