Organization Active NPI

Kids Court and Counseling Center

  • Community/Behavioral Health Agency
  • Riverside, CA
National Provider Identifier
1578954475
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LCSW26051 Issued in CA
Legal business name
KIDS COURT AND COUNSELING CENTER
Practice address
6840 Indiana Ave
Suite 275
Riverside, CA 92506-4298
Phone
(951) 742-7135
NPI assigned
Feb 12, 2015
Last updated
Feb 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Authorized official

Name
Nicol Stolar-Peterson, LCSW
Title
Director
Phone
(951) 742-7135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LCSW26051 CA Primary

Addresses

Primary practice location

6840 Indiana Ave
Suite 275
Riverside, CA 92506-4298

Mailing address

6840 Indiana Ave
Suite 275
Riverside, CA 92506-4298
Phone (951) 742-7135

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423699200000",
    "number": "1578954475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6840 INDIANA AVE",
            "address_2": "SUITE 275",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064298",
            "telephone_number": "951-742-7135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 INDIANA AVE",
            "address_2": "SUITE 275",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064298",
            "telephone_number": "951-742-7135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS COURT AND COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2015-02-12",
        "status": "A",
        "authorized_official_last_name": "STOLAR-PETERSON",
        "authorized_official_first_name": "NICOL",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "951-742-7135",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LCSW26051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; 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.