NPIMap

Organization Active NPI

Counseling and Neuro Dynamics, Inc.

  • Marriage & Family Therapist
  • Long Beach, CA
National Provider Identifier
1619686557
Registry record updated Sep 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COUNSELING AND NEURO DYNAMICS, INC.
Practice address
100 Oceangate Ste 1200
Long Beach, CA 90802-4324
Phone
(562) 714-2146
Fax
(708) 824-0555
NPI assigned
Nov 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2026

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

Authorized official

Name
Dr. Devone Verse Sr., PHDNPI 1023432317
Title
Director
Phone
(773) 619-2001

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary
Community/Behavioral Health Agency 251S00000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

100 Oceangate Ste 1200
Long Beach, CA 90802-4324

Mailing address

2760 Lake Sahara Dr Ste 106
Las Vegas, NV 89117-3438
Phone (562) 714-2146

National Provider Directory

National Provider Directory

Locations

4101 McGowen St
Ste 233
Long Beach, CA 90808
Phone (562) 714-2146

2760 Lake Sahara Dr
Ste 106
Las Vegas, NV 89117
Phone (702) 899-8212

Practitioners 4

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": "1668729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788825600000",
    "number": "1619686557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 LAKE SAHARA DR STE 106",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891173438",
            "telephone_number": "562-714-2146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 OCEANGATE STE 1200",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024324",
            "telephone_number": "562-714-2146",
            "fax_number": "708-824-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNSELING AND NEURO DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-09-08",
        "certification_date": "2026-09-08",
        "status": "A",
        "authorized_official_last_name": "VERSE",
        "authorized_official_first_name": "DEVONE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "773-619-2001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Sr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2026; 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.