NPIMap

Organization Active NPI

Simple Recovery, Inc.

  • Substance Abuse Rehabilitation Facility
  • Huntington Beach, CA
National Provider Identifier
1558812412
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
300247DP Issued in CA
Legal business name
SIMPLE RECOVERY, INC.
Practice address
20621 Paisley LN
Huntington Beach, CA 92646-6014
Phone
(949) 646-3600
NPI assigned
Oct 17, 2016
Last updated
Oct 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Authorized official

Name
Stephen Odom, LMFT
Title
Ceo/Cco
Phone
(949) 646-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 300247DP CA Primary

Addresses

Primary practice location

20621 Paisley LN
Huntington Beach, CA 92646-6014

Mailing address

1901 Newport Blvd
Suite 200
Costa Mesa, CA 92627-2278
Phone (949) 646-3600

National Provider Directory

National Provider Directory
Tax ID family
Simple Recovery Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476662400000",
    "number": "1558812412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 NEWPORT BLVD",
            "address_2": "SUITE 200",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272278",
            "telephone_number": "949-646-3600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20621 PAISLEY LN",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466014",
            "telephone_number": "949-646-3600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPLE RECOVERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "CEO/CCO",
        "authorized_official_telephone_number": "949-646-3600",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "CA",
            "license": "300247DP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.