Organization Active NPI

Present Mind PMCC

  • Mental Health Counselor
  • Agoura Hills, CA
National Provider Identifier
1437924073
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PRESENT MIND PMCC
Practice address
28720 Roadside Dr Ste 177
Agoura Hills, CA 91301-4570
Phone
(310) 272-9694
NPI assigned
Nov 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Dr. Ernest Steven Palmer II, PSY.DNPI 1366004467
Title
Ceo, Counselor, Coach
Phone
(951) 482-4619

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

28720 Roadside Dr Ste 177
Agoura Hills, CA 91301-4570

Mailing address

15021 Ventura Blvd # 437
Sherman Oaks, CA 91403-2442
Phone (951) 482-4619

Other names 2

  • PMCC Present Mind Counseling and Coaching Doing business as
  • Present Mind Counseling & Coaching - PMCC Doing business as

National Provider Directory

National Provider Directory

Locations

28720 Roadside Dr
Ste 177
Agoura Hills, CA 91301
Phone (310) 272-9694

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": "1700611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1437924073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15021 VENTURA BLVD # 437",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032442",
            "telephone_number": "951-482-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28720 ROADSIDE DR STE 177",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014570",
            "telephone_number": "310-272-9694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESENT MIND PMCC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "PALMER",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CEO, COUNSELOR, COACH",
        "authorized_official_telephone_number": "951-482-4619",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PSY.D"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PMCC Present Mind Counseling and Coaching",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "PMCC Present Mind Counseling and Coaching",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Present Mind Counseling & Coaching - PMCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Agoura Hills, CA

Sources for this page

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