Organization Active NPI

A Mindful Healing Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1396240339
Registry record updated Mar 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
License
LPCC1335 Issued in CA
Legal business name
A MINDFUL HEALING COUNSELING CENTER
Practice address
2307 Fenton Pkwy # 107-239
San Diego, CA 92108-4746
Phone
(619) 206-5271
Fax
(619) 795-3274
NPI assigned
Mar 29, 2018
Last updated
Mar 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2018

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

Authorized official

Name
Tatevik Khachatryan, LPCNPI 1205961349
Title
Therapist
Phone
(619) 206-5271

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LPCC1335 CA Primary

Addresses

Primary practice location

2307 Fenton Pkwy # 107-239
San Diego, CA 92108-4746

Mailing address

2307 Fenton Pkwy # 107-239
San Diego, CA 92108-4746
Phone (619) 206-5271

National Provider Directory

National Provider Directory

Locations

2307 Fenton Pkwy
San Diego, CA 92108
Phone (619) 206-5271

Practitioners & affiliated clinicians

Practitioners 2

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": "1522281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522281600000",
    "number": "1396240339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 FENTON PKWY # 107-239",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084746",
            "telephone_number": "619-206-5271",
            "fax_number": "619-795-3274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 FENTON PKWY # 107-239",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084746",
            "telephone_number": "619-206-5271",
            "fax_number": "619-795-3274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A MINDFUL HEALING COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A",
        "authorized_official_last_name": "KHACHATRYAN",
        "authorized_official_first_name": "TATEVIK",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "619-206-5271",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "CA",
            "license": "LPCC1335",
            "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 Mar 29, 2018; 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.