Organization Active NPI

Cntrd Counseling

  • Mental Health Counselor
  • Huntington Beach, CA
National Provider Identifier
1316554249
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CNTRD COUNSELING
Practice address
18700 Main St Ste 202
Huntington Beach, CA 92648-1714
Phone
(714) 747-4393
NPI assigned
Sep 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Authorized official

Name
Laurie Wilson, LMFT
Title
Owner
Phone
(714) 747-4393

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

18700 Main St Ste 202
Huntington Beach, CA 92648-1714

Mailing address

18700 Main St Ste 202
Huntington Beach, CA 92648-1714
Phone (714) 747-4393

Other names 1

  • Beachwood Gates Inc. Other name

National Provider Directory

National Provider Directory

Locations

18700 Main St
Ste 202
Huntington Beach, CA 92648
Phone (562) 533-8616

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": "1600905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600905600000",
    "number": "1316554249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481714",
            "telephone_number": "714-747-4393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 MAIN ST STE 202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481714",
            "telephone_number": "714-747-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNTRD COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-24",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-747-4393",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beachwood Gates Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2020; 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.