Organization Active NPI

Valley Center Counseling, Inc.

  • Community/Behavioral Health Agency
  • Escondido, CA
National Provider Identifier
1386831477
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
SW21570 Issued in CA
Legal business name
VALLEY CENTER COUNSELING, INC.
Practice address
127 E 3Rd Ave
Escondido, CA 92025-4254
Phone
(760) 685-3403
Fax
(760) 751-8650
NPI assigned
Oct 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Authorized official

Name
Mrs. Penny Annette Blazej, LCSW, BCD
Title
Licensed Clinical Worker, Owner
Phone
(760) 685-3403

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X SW21570 CA Primary

Addresses

Primary practice location

127 E 3Rd Ave
Escondido, CA 92025-4254

Mailing address

127 E 3Rd Ave
Escondido, CA 92025-4254
Phone (760) 685-3403

National Provider Directory

National Provider Directory

Locations

127 E 3rd Ave
Ste 201
Escondido, CA 92025
Phone (760) 489-1092

28714 Valley Center Rd
Ste E
Valley Center, CA 92082
Phone (760) 685-3403

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": "1191283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1386831477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E 3RD AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254254",
            "telephone_number": "760-685-3403",
            "fax_number": "760-751-8650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E 3RD AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254254",
            "telephone_number": "760-685-3403",
            "fax_number": "760-751-8650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CENTER COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-02",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "BLAZEJ",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "LICENSED CLINICAL WORKER, OWNER",
        "authorized_official_telephone_number": "760-685-3403",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, BCD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "SW21570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.