Active NPI
Timothy Walter Flaharty, LPCC
- Professional Counselor
- Orange, CA
National Provider Identifier
1629597364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7896
- Practice address
- 1110 E Chapman Ave Ste 203
Orange, CA 92866-2139 - Phone
- (443) 910-1262
- NPI assigned
- Sep 13, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7896 | CA | Primary |
Addresses
Primary practice location
1110 E Chapman Ave Ste 203
Orange, CA 92866-2139
Mailing address
5332 Caliente Dr
Huntington Beach, CA 92649-2618
Other practice location 1
20300 S Vermont Ave Ste 275
Torrance, CA 90502-1338
Phone (310) 787-1335
Other practice location 2
20300 S Vermont Ave Ste 275
Torrance, CA 90502-1338
Phone (310) 787-1335
Other practice location 3
27281 Las Ramblas Ste 140
Mission Viejo, CA 92691
Phone (866) 594-8844
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7896 | CA | MD | Critical Care Neonatal Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Twin Town Corporation | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Laguna Hills, CA
- NPI 1881020626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1629597364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5332 CALIENTE DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926492618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 E CHAPMAN AVE STE 203",
"city": "ORANGE",
"state": "CA",
"postal_code": "928662139",
"telephone_number": "443-910-1262"
}
],
"practiceLocations": [
{
"address_1": "20300 S Vermont Ave Ste 275",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905021338",
"country_code": "US",
"telephone_number": "310-787-1335",
"fax_number": "310-787-1809",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "20300 S Vermont Ave Ste 275",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905021338",
"country_code": "US",
"telephone_number": "310-787-1335",
"fax_number": "310-787-1809",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "27281 Las Ramblas Ste 140",
"address_purpose": "LOCATION",
"city": "Mission Viejo",
"state": "CA",
"postal_code": "92691",
"country_code": "US",
"telephone_number": "866-594-8844",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLAHARTY",
"first_name": "TIMOTHY",
"middle_name": "WALTER",
"credential": "LPCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-13",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "7896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.