Soul Grit Marriage and Family Counseling Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFT87272 Issued in CA

Legal business name

SOUL GRIT MARRIAGE AND FAMILY COUNSELING SERVICES, INC.

Practice address

36580 Penfield LN
Suite 101
Winchester, CA 92596-8610

Phone

(951) 527-7685

NPI assigned

Mar 28, 2017

Organization subpart

No

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

Authorized official

Name

Mrs. Ann Taylor McNiece, MA

Title

President

Phone

(408) 375-3552

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1619409810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36580 PENFIELD LN",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968610",
            "telephone_number": "951-527-7685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36580 PENFIELD LN",
            "address_2": "SUITE 101",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968610",
            "telephone_number": "951-527-7685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL GRIT MARRIAGE AND FAMILY COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-28",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "MCNIECE",
        "authorized_official_first_name": "ANN",
        "authorized_official_middle_name": "TAYLOR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-375-3552",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFT87272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abrahan W Serrano
• Kathleen Shubin, M.S., CCC-SLP
• Tabitha Louise Smith, RN
• Jeffrey Snow
• Maria Celeste Solomon, CCC-SLP
• Spa M Medical Corporation
• Sprout Pediatric Behavioral Services LLC
• Kelly C Starbuck, MA, BCBA
• Nicole Stock, LPC
• Brenda Lynn Stover, RD

• Community/Behavioral Health Agency in Winchester, CA
• Providers in Winchester, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.