NPIMap

Organization Active NPI

Atlas Psychological Family Counseling & Wellness Services, Inc.

  • Marriage & Family Therapist
  • Fullerton, CA
National Provider Identifier
1588061345
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 44504 Issued in CA
Legal business name
ATLAS PSYCHOLOGICAL FAMILY COUNSELING & WELLNESS SERVICES, INC.
Practice address
1513 E Chapman Ave
Fullerton, CA 92831-4013
Phone
(714) 526-4673
NPI assigned
Nov 21, 2014
Last updated
Nov 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

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

Authorized official

Name
Dr. Orchid Daneshmand Johnson, LMFT, LPCC, BCPCNPI 1053328849
Title
President & Clinical Director
Phone
(714) 526-4673

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPCC 957 CA
Marriage & Family Therapist 106H00000X LMFT 44504 CA Primary

Addresses

Primary practice location

1513 E Chapman Ave
Fullerton, CA 92831-4013

Mailing address

2271 W Malvern Ave # 213
Fullerton, CA 92833-2106
Phone (714) 526-4673

National Provider Directory

National Provider Directory

Locations

1513 E Chapman Ave
Fullerton, CA 92831
Phone (714) 526-4673

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1416528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416528000000",
    "number": "1588061345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2271 W MALVERN AVE # 213",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928332106",
            "telephone_number": "714-526-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928314013",
            "telephone_number": "714-526-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLAS PSYCHOLOGICAL FAMILY COUNSELING & WELLNESS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-21",
        "last_updated": "2014-11-21",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ORCHID",
        "authorized_official_middle_name": "DANESHMAND",
        "authorized_official_title_or_position": "PRESIDENT & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "714-526-4673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LMFT, LPCC, BCPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPCC 957",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 44504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.