Individual provider Active NPI

Timothy Walter Flaharty, LPCC

  • Professional Counselor
  • Orange, CA
National Provider Identifier
1629597364
Registry record updated Jul 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7896 Issued in CA
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

Updated by the provider on Jul 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
7896CAMDCritical Care Neonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.