NPIMap

Organization Active NPI

Diversified Counseling Services, Inc.

  • Contractor
  • Anaheim, CA
National Provider Identifier
1497825251
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
Legal business name
DIVERSIFIED COUNSELING SERVICES, INC.
Practice address
720 N Valley St
Suite J
Anaheim, CA 92801-3830
Phone
(714) 758-9920
Fax
(714) 758-9538
NPI assigned
Nov 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Martha Bermudez Edgley
Title
Associate Director
Phone
(714) 667-1196

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X CA Primary

Addresses

Primary practice location

720 N Valley St
Suite J
Anaheim, CA 92801-3830

Mailing address

23177 La Cadena Dr
Suite 103
Laguna Hills, CA 92653-1428
Phone (949) 455-0744

National Provider Directory

National Provider Directory
Tax ID family
Diversified Counseling Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

720 N Valley St
Ste J
Anaheim, CA 92801
Phone (714) 758-9920

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1497825251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23177 LA CADENA DR",
            "address_2": "SUITE 103",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531428",
            "telephone_number": "949-455-0744",
            "fax_number": "949-455-9822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 N VALLEY ST",
            "address_2": "SUITE J",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928013830",
            "telephone_number": "714-758-9920",
            "fax_number": "714-758-9538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVERSIFIED COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDGLEY",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "BERMUDEZ",
        "authorized_official_title_or_position": "ASSOCIATE DIRECTOR",
        "authorized_official_telephone_number": "714-667-1196",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.