Organization Active NPI

Barstow Healthy Lifestyle Consultation Inc

Doing business as Barstow Psychotherapy

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Barstow, CA
National Provider Identifier
1376028993
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BARSTOW HEALTHY LIFESTYLE CONSULTATION INC
Doing business as
Barstow Psychotherapy
Practice address
100 Surrey Court
Barstow, CA 92311
Phone
(760) 957-7819
NPI assigned
Sep 28, 2018
Last updated
Jul 20, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Authorized official

Name
Ms. Martha Obrien, LMFT
Title
MFT
Phone
(818) 515-8215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

100 Surrey Court
Barstow, CA 92311

Mailing address

PO Box 579
Barstow, CA 92312-0579
Phone (760) 957-7819

Other names 1

  • Barstow Psychotherapy Doing business as

National Provider Directory

National Provider Directory

Locations

204 N 3rd Ave
Ste C
Barstow, CA 92311

685 N 1st Ave
Ste 208
Barstow, CA 92311

10063 Riverside Dr
#2401
Toluca Lake, CA 91602

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": "1538092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626739200000",
    "number": "1376028993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 579",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923120579",
            "telephone_number": "760-957-7819",
            "fax_number": "760-307-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SURREY COURT",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "92311",
            "telephone_number": "760-957-7819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARSTOW HEALTHY LIFESTYLE CONSULTATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-28",
        "last_updated": "2021-07-20",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "OBRIEN",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "MFT",
        "authorized_official_telephone_number": "818-515-8215",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barstow Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Barstow Psychotherapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.