Integrated Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 19315 Issued in CA

Legal business name

INTEGRATED COUNSELING CENTER

Practice address

12900B Garden Grove Blvd
Suite #145
Garden Grove, CA 92843-2018

Phone

(714) 530-5360

Fax

(714) 530-5565

NPI assigned

Jun 21, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Rose Hoa Nguyen, LCSW, MSWNPI 1548466139

Title

Ceo, Program Director

Phone

(712) 530-5360

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Hoa Nguyen, LCSW, MSW

  • Clinical Social Worker
  • Garden Grove, CA
  • NPI 1548466139
  NPD (past) Authorized official

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

{
    "created_epoch": "1182384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346446937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900B GARDEN GROVE BLVD",
            "address_2": "SUITE #145",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432018",
            "telephone_number": "714-530-5360",
            "fax_number": "714-530-5565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900B GARDEN GROVE BLVD",
            "address_2": "SUITE #145",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928432018",
            "telephone_number": "714-530-5360",
            "fax_number": "714-530-5565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "HOA",
        "authorized_official_title_or_position": "CEO, PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "712-530-5360",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 19315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.