Pacific Beach Marriage and Family Counseling, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT#24460 Issued in CA

Legal business name

PACIFIC BEACH MARRIAGE AND FAMILY COUNSELING, INC.

Doing business as

Pacific Beach Counseling

Practice address

1010 Turquoise St Ste 265
San Diego, CA 92109-1200

Phone

(858) 488-5732

Fax

(858) 273-8517

NPI assigned

May 15, 2007

Organization subpart

No

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

Authorized official

Name

Mr. David Martin Hendrick, M.S.

Title

President

Phone

(858) 488-5732

Specialties & licenses 1

Addresses

Other names 1

• Pacific Beach Counseling Doing business as

Locations

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

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548476708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 TURQUOISE ST STE 265",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091200",
            "telephone_number": "858-488-5732",
            "fax_number": "858-273-8517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 TURQUOISE ST STE 265",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921091200",
            "telephone_number": "858-488-5732",
            "fax_number": "858-273-8517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC BEACH MARRIAGE AND FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HENDRICK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "MARTIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "858-488-5732",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT#24460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Beach Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, 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 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.