NPIMap

Organization Active NPI

Achieve Your True Potential

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1356792626
Registry record updated Jun 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT 45349 Issued in CA
Legal business name
ACHIEVE YOUR TRUE POTENTIAL
Practice address
5100 Marlborough Dr
San Diego, CA 92116-2020
Phone
(619) 567-7399
Fax
(619) 567-7399
NPI assigned
Jun 28, 2016
Last updated
Jun 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2016

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

Authorized official

Name
Esmeralda Solorzano Christensen, MFT, PCCNPI 1003059221
Title
Owner
Phone
(619) 567-7399

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 LPCC 1568 CA
Marriage & Family Therapist 106H00000X MFT 45349 CA Primary

Addresses

Primary practice location

5100 Marlborough Dr
San Diego, CA 92116-2020

Mailing address

5100 Marlborough Dr
San Diego, CA 92116-2020
Phone (619) 567-7399

National Provider Directory

National Provider Directory

Locations

4142 Adams Ave
Ste 103
San Diego, CA 92116
Phone (619) 462-5029

Practitioners & affiliated clinicians

Practitioners 7

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": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1356792626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 MARLBOROUGH DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162020",
            "telephone_number": "619-567-7399",
            "fax_number": "619-567-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 MARLBOROUGH DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162020",
            "telephone_number": "619-567-7399",
            "fax_number": "619-567-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHIEVE YOUR TRUE POTENTIAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "CHRISTENSEN",
        "authorized_official_first_name": "ESMERALDA",
        "authorized_official_middle_name": "SOLORZANO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-567-7399",
        "authorized_official_credential": "MFT, PCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC 1568",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 45349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.