NPIMap

Organization Active NPI

South Coast Children's Society, Inc.

Doing business as South Coast Community Services

  • Mental Health Counselor
  • Costa Mesa, CA
National Provider Identifier
1346023462
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
SOUTH COAST CHILDREN'S SOCIETY, INC.
Doing business as
South Coast Community Services
Practice address
3100 Bristol St Ste 150
Costa Mesa, CA 92626-7329
Phone
(714) 536-0077
NPI assigned
Aug 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Authorized official

Name
Kathleen Darling
Title
Coo
Phone
(909) 838-4274

Specialties & licenses 1

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

Addresses

Primary practice location

3100 Bristol St Ste 150
Costa Mesa, CA 92626-7329

Mailing address

25910 Acero Ste 160
Mission Viejo, CA 92691-2777
Phone (909) 980-6700

Other names 1

  • South Coast Community Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100629000241 CA Part B Supplier - Clinic/Group Practice 7315078789 Receives reassigned benefits from 3 practitioners
7 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Chino, CA; Colton, CA; Costa Mesa, CA; Mission Viejo, CA; Rancho Cucamonga, CA; Redlands, CA; Upland, CA; Yucaipa, CA

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
South Coast Children's Society Inc23 organizations share this tax ID, including this one

Other organizations with this tax ID 22

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

View all 22

Locations

3100 Bristol St
Ste 150
Costa Mesa, CA 92626
Phone (714) 536-0077

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": "1691971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691971200000",
    "number": "1346023462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25910 ACERO STE 160",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912777",
            "telephone_number": "909-980-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 BRISTOL ST STE 150",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267329",
            "telephone_number": "714-536-0077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST CHILDREN'S SOCIETY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A",
        "authorized_official_last_name": "DARLING",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "909-838-4274"
    },
    "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": "South Coast Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Costa Mesa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.