Community Counseling Associates

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LMFT21311 Issued in CA

Legal business name

COMMUNITY COUNSELING ASSOCIATES

Practice address

5150 Sunrise Blvd
Suite H-1
Fair Oaks, CA 95628-4939

Phone

(916) 565-5015

NPI assigned

Nov 9, 2016

Last updated

Apr 25, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tim Dakin, LMFT

Title

President

Phone

(916) 764-6997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493078400000",
    "number": "1427590306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 SUNRISE BLVD",
            "address_2": "SUITE H-1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284939",
            "telephone_number": "916-965-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 SUNRISE BLVD",
            "address_2": "SUITE H-1",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284939",
            "telephone_number": "916-565-5015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-09",
        "last_updated": "2017-04-25",
        "status": "A",
        "authorized_official_last_name": "DAKIN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-764-6997",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LMFT21311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fair Oaks, CA
• Providers in Fair Oaks, 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 Apr 25, 2017; 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.