Theresa Rose Goldstein, MA, APCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

16413 Issued in CA

Practice address

2615 Pacific Coast Hwy Ste 325
Hermosa Beach, CA 90254-2236

Phone

(818) 806-8767

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Theresa Goldstein, Professional Clinical Cousnelor, P.C.

  • Mental Health Counselor
  • Hermosa Beach, CA
  • NPI 1982433801
  NPD Authorized official

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1396481552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 325",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542236",
            "telephone_number": "818-806-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PACIFIC COAST HWY STE 325",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542236",
            "telephone_number": "818-806-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "THERESA",
        "middle_name": "ROSE",
        "name_prefix": "Ms.",
        "credential": "MA, APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "16413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OUT OF NETWORK",
            "identifier": "5601",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shari Mowlavi Giti, PSY.D.
• Glenn Psychiatric Medical Corporation
• Kim Lauren Glenn, LMFT
• Diane Naomi Glick, LCSW
• Ron Goren Glick, PSY.D
• Adriana Gomez
• Ciana Gonzales
• Angela Gosselin, MA
• Jason Gray, BCBA
• Ashley Renee Greye

• Mental Health Counselor in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; 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.