NPIMap

Organization Active NPI

Counseling & Behavioral Specialists

  • Marriage & Family Therapist
  • La Mesa, CA
National Provider Identifier
1285007583
Registry record updated Nov 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
IMF86745 Issued in CA
Legal business name
COUNSELING & BEHAVIORAL SPECIALISTS
Practice address
5520 Wellesley Street
Ste 204
La Mesa, CA 91942
Phone
(619) 697-0470
Fax
(619) 697-0505
NPI assigned
Nov 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2015

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

Authorized official

Name
Mrs. Sherry K Hummel, MA, MFT
Title
Director/Owner
Phone
(619) 697-0470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X IMF86745 CA Primary

Addresses

Primary practice location

5520 Wellesley Street
Ste 204
La Mesa, CA 91942

Mailing address

5520 Wellesley Street
Ste 204
La Mesa, CA 91942
Phone (619) 697-0470

National Provider Directory

National Provider Directory
Tax ID family
Counseling Behavioral Specialists3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

5520 Wellesley St
Ste 204
La Mesa, CA 91942
Phone (619) 697-0470

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": "1447027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447027200000",
    "number": "1285007583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 WELLESLEY STREET",
            "address_2": "STE 204",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-697-0470",
            "fax_number": "619-697-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 WELLESLEY STREET",
            "address_2": "STE 204",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "91942",
            "telephone_number": "619-697-0470",
            "fax_number": "619-697-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING & BEHAVIORAL SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-09",
        "last_updated": "2015-11-09",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "619-697-0470",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA, MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF86745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.