Coast Therapy Associates, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

COAST THERAPY ASSOCIATES, INC.

Practice address

950 Los Osos Valley Rd Ste E
Los Osos, CA 93402-3248

Phone

(805) 550-6184

NPI assigned

Apr 13, 2023

Organization subpart

No

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

Authorized official

Name

Jessica Irving, LPCCNPI 1881113264

Title

Owner, Clinical Director

Phone

(805) 550-6184

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.

• Jessica Irving, MA, LPCC, AT-R

  • Mental Health Counselor
  • Los Osos, CA
  • NPI 1881113264

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681344000000",
    "number": "1386330231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 LOS OSOS VALLEY RD STE E",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023248",
            "telephone_number": "805-550-6184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 LOS OSOS VALLEY RD STE E",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934023248",
            "telephone_number": "805-550-6184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COAST THERAPY ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A",
        "authorized_official_last_name": "IRVING",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "805-550-6184",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Los Osos, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2023; 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.