NPIMap

Organization Active NPI

Second Wind Professional Clinical Counselor Inc

Doing business as Second Wind Counseling

  • Professional Counselor
  • Vacaville, CA
National Provider Identifier
1336989813
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
SECOND WIND PROFESSIONAL CLINICAL COUNSELOR INC
Doing business as
Second Wind Counseling
Practice address
401 Boyd St
Vacaville, CA 95688-4521
Phone
(530) 966-8144
NPI assigned
May 30, 2024
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Kristina Cook, LPCC, NCC, MS,NPI 1669013165
Title
Clinical Director
Phone
(530) 966-8144

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

401 Boyd St
Vacaville, CA 95688-4521

Mailing address

401 Boyd St
Vacaville, CA 95688-4521
Phone (530) 966-8144

Other names 1

  • Second Wind Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1336989813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 BOYD ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884521",
            "telephone_number": "530-966-8144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 BOYD ST",
            "city": "VACAVILLE",
            "state": "CA",
            "postal_code": "956884521",
            "telephone_number": "530-966-8144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND WIND PROFESSIONAL CLINICAL COUNSELOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "530-966-8144",
        "authorized_official_credential": "LPCC, NCC, MS,"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Second Wind Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vacaville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.