Newport Counseling Center, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

NEWPORT COUNSELING CENTER, INC.

Practice address

4540 Campus Dr Ste 108
Newport Beach, CA 92660-1815

Phone

(949) 478-1798

NPI assigned

Jan 13, 2023

Last updated

Jan 13, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Talia Bombola, LMFTNPI 1235737875

Title

Ceo

Phone

(949) 478-1798

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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.

• Talia Bombola, LMFT

  • Mental Health Counselor
  • Newport Beach, CA
  • NPI 1235737875
  Authorized official Same address or phone

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673568000000",
    "number": "1336854389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4540 CAMPUS DR STE 108",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4540 CAMPUS DR STE 108",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601815",
            "telephone_number": "949-478-1798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWPORT COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A",
        "authorized_official_last_name": "BOMBOLA",
        "authorized_official_first_name": "TALIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-478-1798",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "office@newportcounselincenter.org",
            "affiliation": "N",
            "endpointDescription": "Email",
            "address_1": "4540 Campus Dr Ste 108",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926601815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Marriage & Family Therapist in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.