NPIMap

Organization Active NPI

Clear Mind Marriage and Family Counseling, Inc.

Doing business as Clear Mind Counseling San Diego

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1548830391
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CLEAR MIND MARRIAGE AND FAMILY COUNSELING, INC.
Doing business as
Clear Mind Counseling San Diego
Practice address
3655 Nobel Dr Ste 400
San Diego, CA 92122-1005
Phone
(858) 750-7379
NPI assigned
Jun 24, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Jordan Rosenfeld
Title
Chief Operating Officer
Phone
(619) 261-9594

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3655 Nobel Dr Ste 400
San Diego, CA 92122-1005

Mailing address

3655 Nobel Dr Ste 400
San Diego, CA 92122-1005
Phone (858) 750-7379

Other practice location 1

7676 Hazard Center Dr Ste 340
San Diego, CA 92108-4543
Phone (858) 750-7379

Other names 1

  • Clear Mind Counseling San Diego Doing business as

National Provider Directory

National Provider Directory

Locations

3655 Nobel Dr
Ste 400
San Diego, CA 92122
Phone (858) 325-8311

Practitioners & affiliated clinicians

Practitioners 7

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": "1624492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1548830391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 NOBEL DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221005",
            "telephone_number": "858-750-7379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 NOBEL DR STE 400",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921221005",
            "telephone_number": "858-750-7379"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7676 Hazard Center Dr Ste 340",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921084543",
            "country_code": "US",
            "telephone_number": "858-750-7379",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CLEAR MIND MARRIAGE AND FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-24",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "ROSENFELD",
        "authorized_official_first_name": "JORDAN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "619-261-9594"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clear Mind Counseling San Diego",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clear Mind Counseling San Diego",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.