Agape Counseling Center and Network

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

AGAPE COUNSELING CENTER AND NETWORK

Practice address

1745 Enterprise Dr
BLDG 2
Fairfield, CA 94533-5801

Phone

(707) 384-7303

Fax

(707) 247-4233

NPI assigned

May 4, 2015

Last updated

May 4, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Cornelia Gibson, ED.D.NPI 1700940806

Title

Executive Director

Phone

(707) 384-7303

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Cornelia Gibson

  • Marriage & Family Therapist
  • Fairfield, CA
  • NPI 1700940806
  Authorized official Same address or phone

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

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430697600000",
    "number": "1649657248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2433",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945330243",
            "telephone_number": "707-384-7303",
            "fax_number": "707-247-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1745 ENTERPRISE DR",
            "address_2": "BLDG 2",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945335801",
            "telephone_number": "707-384-7303",
            "fax_number": "707-247-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE COUNSELING CENTER AND NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-04",
        "last_updated": "2015-05-04",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CORNELIA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "707-384-7303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ED.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adventist Health Physicians Network
• Adventus Education LLC (GCC Laboratory)
• Desiree Afable
• Mina Afnan
• Marriyum Aftab
• Agape Love Home Care
• Erin Katelyn Agostini
• Juliana Agosto
• Randii Agpasan, SUDRC
• Angela Aguayo, MSW

• Community/Behavioral Health Agency in Fairfield, CA
• Providers in Fairfield, 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 May 4, 2015; 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.