South Bay la Therapy: a Professional Clinical Counselor Corporation

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SOUTH BAY LA THERAPY: A PROFESSIONAL CLINICAL COUNSELOR CORPORATION

Practice address

24520 Hawthorne Blvd Ste 210
Torrance, CA 90505-6844

Phone

(310) 291-7837

NPI assigned

Jan 10, 2024

Organization subpart

No

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

Authorized official

Name

Vonique Schmidt, LPCCNPI 1700247905

Title

Owner/Ceo

Phone

(310) 291-7837

Specialties & licenses 1

Addresses

Other names 1

• South Bay LA Therapy Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Vonique Schmidt

  • Counselor
  • Torrance, CA
  • NPI 1700247905

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1704844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704844800000",
    "number": "1497526230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056844",
            "telephone_number": "310-291-7837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24520 HAWTHORNE BLVD STE 210",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905056844",
            "telephone_number": "310-291-7837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY LA THERAPY: A PROFESSIONAL CLINICAL COUNSELOR CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-10",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "VONIQUE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "310-291-7837",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Bay LA Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• South Bay Hearing & Balance Center Inc.
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• South Bay Human Services Coalition Inc
• South Bay Injury Care LLC
• South Bay Medical Services Corporation
• South Bay Mind Clinic
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• South Bay Nikkei Pediatric Medical Group
• South Bay Optometry, Inc.

• Mental Health Counselor in Torrance, CA
• Providers in Torrance, 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 Jan 10, 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.