Active NPI
Christian Counseling Centers, Inc.
- Community/Behavioral Health Agency
- San Mateo, CA
National Provider Identifier
1275700908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- CHRISTIAN COUNSELING CENTERS, INC.
- Practice address
- 1510 Fashion Island Blvd
San Mateo, CA 94404-1596 - Phone
- (650) 570-7273
- Fax
- (650) 570-4283
- NPI assigned
- May 12, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jonathan Hartley Arnold, PH.D.
- Title
- President
- Phone
- (650) 570-7273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1510 Fashion Island Blvd
San Mateo, CA 94404-1596
Mailing address
1510 Fashion Island Blvd
San Mateo, CA 94404-1596
Phone (650) 570-7273
National Provider Directory
National Provider Directory- Tax ID family
- Christian Counseling Centers Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Hayward, CA
- NPI 1447616511
Locations
1510 Fashion Island Blvd
San Mateo, CA 94404
Phone (650) 570-7273
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- San Mateo, CA
- NPI 1639611379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210550400000",
"number": "1275700908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1510 FASHION ISLAND BLVD",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944041596",
"telephone_number": "650-570-7273",
"fax_number": "650-570-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1510 FASHION ISLAND BLVD",
"city": "SAN MATEO",
"state": "CA",
"postal_code": "944041596",
"telephone_number": "650-570-7273",
"fax_number": "650-570-4283"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN COUNSELING CENTERS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-12",
"last_updated": "2008-05-12",
"status": "A",
"authorized_official_last_name": "ARNOLD",
"authorized_official_first_name": "JONATHAN",
"authorized_official_middle_name": "HARTLEY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "650-570-7273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PH.D."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Mateo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.