Organization Active NPI

Christian Counseling Centers, Inc.

  • Community/Behavioral Health Agency
  • San Mateo, CA
National Provider Identifier
1275700908
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on May 12, 2008

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)CodeLicenseStatePrimary
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 Inc2 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.

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.

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.

Verify at the official NPI Registry.