Individual provider Active NPI

Candea Mosley, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1467282228
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
148455 Issued in CA
Practice address
5694 Mission Center Rd Ste 602-309
San Diego, CA 92108-4355
Phone
(619) 597-7511
NPI assigned
Aug 6, 2024
Last updated
Aug 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 148455 CA Primary

Addresses

Primary practice location

5694 Mission Center Rd Ste 602-309
San Diego, CA 92108-4355

Mailing address

7230 Golfcrest Dr
San Diego, CA 92119-1609
Phone (619) 597-7511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
148455CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Avani Family Counseling, Inc. Marriage & Family Therapist CurrentSince Aug 11, 2024 Accepting new patients

Locations

3990 Old Town Ave
Ste B109
San Diego, CA 92110
Phone (310) 903-9525

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1467282228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7230 GOLFCREST DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921191609",
            "telephone_number": "619-597-7511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5694 MISSION CENTER RD STE 602-309",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084355",
            "telephone_number": "619-597-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOSLEY",
        "first_name": "CANDEA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "148455",
            "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 Aug 6, 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.