Shiloh Community Counseling & Outreach Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT39418 Issued in CA

Legal business name

SHILOH COMMUNITY COUNSELING & OUTREACH CENTER

Practice address

101 S Kraemer Blvd
Placentia, CA 92870-6105

Phone

(714) 223-1601

Fax

(714) 223-1601

NPI assigned

Dec 29, 2006

Last updated

Aug 29, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tanya MC PetersNPI 1801342969

Title

Executive Manager

Phone

(714) 223-1601

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tanya McPeters, LMFT

  • Marriage & Family Therapist
  • Placentia, CA
  • NPI 1801342969
  NPD (past) Authorized official

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472428800000",
    "number": "1538225982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706105",
            "telephone_number": "714-223-1601",
            "fax_number": "714-223-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S KRAEMER BLVD",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928706105",
            "telephone_number": "714-223-1601",
            "fax_number": "714-223-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHILOH COMMUNITY COUNSELING & OUTREACH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2016-08-29",
        "status": "A",
        "authorized_official_last_name": "MC PETERS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "EXECUTIVE MANAGER",
        "authorized_official_telephone_number": "714-223-1601",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT39418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Placentia, CA
• Providers in Placentia, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2016; 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.