NPIMap

Organization Active NPI

Associates in Counseling & Mediation

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orange, CA
National Provider Identifier
1568898765
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
CAADAC A3518587 Issued in CA
Legal business name
ASSOCIATES IN COUNSELING & MEDIATION
Practice address
265 S Anita Dr Ste 117
Orange, CA 92868-3341
Phone
(714) 978-1090
NPI assigned
Sep 19, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Authorized official

Name
Mr. Michael William Gantenbein, CAADAC A3518587NPI 1528495280
Title
Counselor
Phone
(562) 498-0768

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X CAADAC A3518587 CA Primary

Addresses

Primary practice location

265 S Anita Dr Ste 117
Orange, CA 92868-3341

Mailing address

5585 E Pacific Coast Hwy Unit 166
Long Beach, CA 90804-9456
Phone (562) 498-0768

National Provider Directory

National Provider Directory
Tax ID family
Associates in Counseling Mediation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

265 S Anita Dr
Ste 117
Orange, CA 92868
Phone (714) 978-1090

Practitioners & affiliated clinicians

Practitioners 1

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": "1379548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379548800000",
    "number": "1568898765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5585 E PACIFIC COAST HWY UNIT 166",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908049456",
            "telephone_number": "562-498-0768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 S ANITA DR STE 117",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683341",
            "telephone_number": "714-978-1090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN COUNSELING & MEDIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-19",
        "last_updated": "2013-09-19",
        "status": "A",
        "authorized_official_last_name": "GANTENBEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "562-498-0768",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CAADAC A3518587"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "CAADAC A3518587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2013; 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.