Organization Active NPI

Dragonfly Marriage and Family Counseling of San Diego Inc.

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1467174656
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
DRAGONFLY MARRIAGE AND FAMILY COUNSELING OF SAN DIEGO INC.
Practice address
1855 1St Ave Ste 103
San Diego, CA 92101-2650
Phone
(619) 627-1887
Fax
(619) 415-8198
NPI assigned
Sep 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Authorized official

Name
Sherri Hubbard, LMFTNPI 1558674325
Title
President
Phone
(619) 627-1887

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

1855 1St Ave Ste 103
San Diego, CA 92101-2650

Mailing address

1855 1St Ave Ste 103
San Diego, CA 92101-2650
Phone (619) 627-1887

Other names 1

  • Dragonfly Counseling of San Diego Doing business as

National Provider Directory

National Provider Directory

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": "1663113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663113600000",
    "number": "1467174656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012650",
            "telephone_number": "619-627-1887",
            "fax_number": "619-415-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 1ST AVE STE 103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012650",
            "telephone_number": "619-627-1887",
            "fax_number": "619-415-8198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAGONFLY MARRIAGE AND FAMILY COUNSELING OF SAN DIEGO INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-14",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A",
        "authorized_official_last_name": "HUBBARD",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-627-1887",
        "authorized_official_credential": "LMFT"
    },
    "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": "Dragonfly Counseling of San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 14, 2022; 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.