Organization Active NPI

Anjou Therapist, a Professional Clinical Counselor Corporation

  • Mental Health Counselor
  • Solana Beach, CA
National Provider Identifier
1336747971
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANJOU THERAPIST, A PROFESSIONAL CLINICAL COUNSELOR CORPORATION
Practice address
809 Seabright LN
Solana Beach, CA 92075-1272
Phone
(760) 260-8234
NPI assigned
Oct 15, 2020
Last updated
Oct 26, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Anjou Parekh, LPCCNPI 1487435517
Title
President
Phone
(760) 805-3309

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

809 Seabright LN
Solana Beach, CA 92075-1272

Mailing address

153 S Sierra Ave Unit 828
Solana Beach, CA 92075-8035
Phone (760) 260-8234

National Provider Directory

National Provider Directory

Locations

153 S Sierra Ave
Unit 828
Solana Beach, CA 92075
Phone (760) 260-8234

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1602720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1336747971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 S SIERRA AVE UNIT 828",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920758035",
            "telephone_number": "760-260-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 SEABRIGHT LN",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751272",
            "telephone_number": "760-260-8234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANJOU THERAPIST, A PROFESSIONAL CLINICAL COUNSELOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-15",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "PAREKH",
        "authorized_official_first_name": "ANJOU",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-805-3309",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Solana Beach, CA

Sources for this page

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