NPIMap

Organization Active NPI

Practical Counseling and Educational Services

Doing business as Quail Lakes Community Counseling

  • Community/Behavioral Health Agency
  • Stockton, CA
National Provider Identifier
1588041610
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LMFT50618 Issued in CA
Legal business name
PRACTICAL COUNSELING AND EDUCATIONAL SERVICES
Doing business as
Quail Lakes Community Counseling
Practice address
1151 W Robinhood Dr Ste C6
Stockton, CA 95207-5628
Phone
(209) 954-1311
NPI assigned
Apr 27, 2015
Last updated
Apr 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

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

Authorized official

Name
Mr. Adam Diestler, LMFT
Title
LMFT
Phone
(209) 954-1311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LMFT50618 CA Primary

Addresses

Primary practice location

1151 W Robinhood Dr Ste C6
Stockton, CA 95207-5628

Mailing address

1151 W Robinhood Dr Ste C6
Stockton, CA 95207-5628
Phone (209) 954-1311

Other names 1

  • Quail Lakes Community Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1151 W Robinhood Dr
Ste C6
Stockton, CA 95207
Phone (209) 954-1311

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1430092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1588041610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 W ROBINHOOD DR STE C6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075628",
            "telephone_number": "209-954-1311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 W ROBINHOOD DR STE C6",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075628",
            "telephone_number": "209-954-1311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL COUNSELING AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-27",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "DIESTLER",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "LMFT",
        "authorized_official_telephone_number": "209-954-1311",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "LMFT50618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quail Lakes Community Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.