Organization Active NPI

Diagnostic & Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Agoura Hills, CA
National Provider Identifier
1477813665
Registry record updated Oct 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DIAGNOSTIC & COUNSELING CENTER INC
Practice address
30125 Agoura Rd Ste 2B
Agoura Hills, CA 91301-4345
Phone
(818) 630-5744
Fax
(818) 394-6409
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2023

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

Authorized official

Name
Bahareh TaleiNPI 1083845564
Title
Owner
Phone
(818) 307-0741

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X PSY21252 CA
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

30125 Agoura Rd Ste 2B
Agoura Hills, CA 91301-4345

Mailing address

26500 Agoura Rd Ste 102-401
Calabasas, CA 91302-1952
Phone (818) 307-0741

Other identifiers 1

IdentifierTypeStateIssuer
1477813665OtherCANPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240617003393 CA Part B Supplier - Clinic/Group Practice 8729521893 Receives reassigned benefits from 1 practitioner
Practice locations: Agoura Hills, CA

National Provider Directory

National Provider Directory

Locations

26500 Agoura Rd
Ste 102401
Calabasas, CA 91302

4505 Las Virgenes Rd
Ste 217
Calabasas, CA 91302
Phone (310) 924-1761

26500 Agoura Rd
#102401
Calabasas, CA 91302

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": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697932800000",
    "number": "1477813665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26500 AGOURA RD STE 102-401",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913021952",
            "telephone_number": "818-307-0741",
            "fax_number": "818-394-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30125 AGOURA RD STE 2B",
            "city": "AGOURA HILLS",
            "state": "CA",
            "postal_code": "913014345",
            "telephone_number": "818-630-5744",
            "fax_number": "818-394-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAGNOSTIC & COUNSELING CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2023-10-22",
        "certification_date": "2023-08-23",
        "status": "A",
        "authorized_official_last_name": "TALEI",
        "authorized_official_first_name": "BAHAREH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-307-0741"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "PSY21252",
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1477813665",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.