Individual provider Active NPI

Ivana Sindolic, M.A.

  • Mental Health Counselor
  • Oceanside, CA
National Provider Identifier
1558632182
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPCC760 Issued in CA
Practice address
1100 Sportfisher Dr
MHS - Family Recovery Center
Oceanside, CA 92054-2550
Phone
(760) 439-6702
Fax
(760) 439-4779
NPI assigned
Jan 12, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X IMF55005 CA
Mental Health Counselor 101YM0800X LPCC760 CA Primary
Marriage & Family Therapist 106H00000X LMFT95018 CA

Addresses

Primary practice location

1100 Sportfisher Dr
MHS - Family Recovery Center
Oceanside, CA 92054-2550

Mailing address

1100 Sportfisher Dr
MHS - Family Recovery Center
Oceanside, CA 92054-2550
Phone (760) 439-6702

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPCC760CAMDMental Health Counselor
IMF55005CAMDMarriage & Family Therapist
LMFT95018CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1326326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1558632182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SPORTFISHER DR",
            "address_2": "MHS - FAMILY RECOVERY CENTER",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542550",
            "telephone_number": "760-439-6702",
            "fax_number": "760-439-4779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SPORTFISHER DR",
            "address_2": "MHS - FAMILY RECOVERY CENTER",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542550",
            "telephone_number": "760-439-6702",
            "fax_number": "760-439-4779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDOLIC",
        "first_name": "IVANA",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-12",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF55005",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC760",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT95018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; 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.