Organization Active NPI

Community Counseling Connection, a Licensed Clinical Social Worker, PC

Doing business as Community Counseling Connection, Inc.

  • Clinical Social Worker
  • Whittier, CA
National Provider Identifier
1588362180
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
COMMUNITY COUNSELING CONNECTION, A LICENSED CLINICAL SOCIAL WORKER, PC
Doing business as
Community Counseling Connection, Inc.
Practice address
13305 Penn St Ste 140
Whittier, CA 90602-1796
Phone
(562) 551-2630
NPI assigned
Feb 22, 2023
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Guisella Paola ConroyNPI 1285983635
Title
Owner
Phone
(562) 551-2630

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
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

13305 Penn St Ste 140
Whittier, CA 90602-1796

Mailing address

13305 Penn St Ste 140
Whittier, CA 90602-1796
Phone (562) 551-2630

Other identifiers 2

IdentifierTypeStateIssuer
99170OtherCACA LICENSE
SWI.LW.61691813OtherWAWA LICENSE

Other names 1

  • COMMUNITY COUNSELING CONNECTION, INC. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230501000496 CA Part B Supplier - Clinic/Group Practice 8022473891 Receives reassigned benefits from 2 practitioners
Practice locations: Whittier, CA

National Provider Directory

National Provider Directory

Locations

13305 Penn St
Ste 140
Whittier, CA 90602
Phone (562) 351-9998

Practitioners & affiliated clinicians

Practitioners 2

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": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1588362180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13305 PENN ST STE 140",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021796",
            "telephone_number": "562-551-2630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13305 PENN ST STE 140",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021796",
            "telephone_number": "562-551-2630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY COUNSELING CONNECTION, A LICENSED CLINICAL SOCIAL WORKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "CONROY",
        "authorized_official_first_name": "GUISELLA",
        "authorized_official_middle_name": "PAOLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-551-2630"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "99170",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA LICENSE",
            "identifier": "SWI.LW.61691813",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMMUNITY COUNSELING CONNECTION, INC.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "COMMUNITY COUNSELING CONNECTION, INC.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.