Progressive Recovery Counseling Services

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

48059 Issued in CA

Legal business name

PROGRESSIVE RECOVERY COUNSELING SERVICES

Practice address

312 S Cedros Ave
Suite 334
Solana Beach, CA 92075-1979

Phone

(619) 518-3415

Fax

(760) 304-4080

NPI assigned

Mar 22, 2016

Organization subpart

No

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

Authorized official

Name

Michele Jensen, MFTNPI 1255662714

Title

Owner/ President

Phone

(619) 518-3415

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michele Noel Jensen, MFT

  • Marriage & Family Therapist
  • Solana Beach, CA
  • NPI 1255662714
  NPD (past) Authorized official

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

{
    "created_epoch": "1458604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458604800000",
    "number": "1346602240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S CEDROS AVE",
            "address_2": "SUITE 334",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751979",
            "telephone_number": "619-518-3415",
            "fax_number": "760-304-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S CEDROS AVE",
            "address_2": "SUITE 334",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751979",
            "telephone_number": "619-518-3415",
            "fax_number": "760-304-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE RECOVERY COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-22",
        "last_updated": "2016-03-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_title_or_position": "OWNER/ PRESIDENT",
        "authorized_official_telephone_number": "619-518-3415",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "48059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Solana Beach, CA
• Providers in Solana 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 Mar 22, 2016; 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.