Organization Active NPI

Institute for Counseling Inc

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1598023475
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LL10793 Issued in CA
Legal business name
INSTITUTE FOR COUNSELING INC
Practice address
2725 Congress St Ste 2C
San Diego, CA 92110-2767
Phone
(619) 688-1035
Fax
(619) 688-1098
NPI assigned
Apr 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Ms. Michele Suzanne Koonin, LCSW
Title
Director
Phone
(619) 688-1035

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X LL10793 CA Primary

Addresses

Primary practice location

2725 Congress St Ste 2C
San Diego, CA 92110-2767

Mailing address

2725 Congress St Ste 2C
San Diego, CA 92110-2767
Phone (619) 688-1035

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1598023475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 CONGRESS ST STE 2C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102767",
            "telephone_number": "619-688-1035",
            "fax_number": "619-688-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2725 CONGRESS ST STE 2C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102767",
            "telephone_number": "619-688-1035",
            "fax_number": "619-688-1098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTITUTE FOR COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "KOONIN",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "SUZANNE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-688-1035",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LL10793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.