Organization Active NPI

Baldwin Park Counseling

  • Community/Behavioral Health Agency
  • West Covina, CA
National Provider Identifier
1386045979
Registry record updated Sep 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFT20818 Issued in CA
Legal business name
BALDWIN PARK COUNSELING
Practice address
1710 W Cameron Ave Ste 202
West Covina, CA 91790-2720
Phone
(626) 917-2120
Fax
(626) 917-2120
NPI assigned
Sep 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2014

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

Authorized official

Name
Mr. Juan Ramon Maldonado, MFTNPI 1306248299
Title
Marriage & Family Therapist
Phone
(626) 917-2120

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFT20818 CA Primary

Addresses

Primary practice location

1710 W Cameron Ave Ste 202
West Covina, CA 91790-2720

Mailing address

1710 W Cameron Ave Ste 202
West Covina, CA 91790-2720
Phone (626) 917-2120

National Provider Directory

National Provider Directory

Locations

1710 W Cameron Ave
Ste 202
West Covina, CA 91790
Phone (626) 917-2120

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1386045979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 W CAMERON AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902720",
            "telephone_number": "626-917-2120",
            "fax_number": "626-917-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 W CAMERON AVE STE 202",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902720",
            "telephone_number": "626-917-2120",
            "fax_number": "626-917-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALDWIN PARK COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-15",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "MALDONADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "RAMON",
        "authorized_official_title_or_position": "MARRIAGE & FAMILY THERAPIST",
        "authorized_official_telephone_number": "626-917-2120",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFT20818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.