NPIMap

Organization Active NPI

Richard Madrigal Counseling 360

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Garden Grove, CA
National Provider Identifier
1639764491
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
RICHARD MADRIGAL COUNSELING 360
Practice address
12072 Saint Mark St
Garden Grove, CA 92845-1615
Phone
(310) 849-9495
NPI assigned
Mar 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Authorized official

Name
Richard Thomas Madrigal, LMFTNPI 1568892297
Title
Owner
Phone
(310) 849-9495

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

12072 Saint Mark St
Garden Grove, CA 92845-1615

Mailing address

12072 Saint Mark St
Garden Grove, CA 92845-1615
Phone (310) 849-9495

Other names 1

  • Richard Madrigal Counseling 360 Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL richardmadrigal360@gmail.com Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1614729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614729600000",
    "number": "1639764491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12072 SAINT MARK ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451615",
            "telephone_number": "310-849-9495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12072 SAINT MARK ST",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928451615",
            "telephone_number": "310-849-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD MADRIGAL COUNSELING 360",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-03",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A",
        "authorized_official_last_name": "MADRIGAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-849-9495",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "richardmadrigal360@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "12072 Saint Mark St",
            "city": "Garden Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "928451615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Richard Madrigal Counseling 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Garden Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.