Mindful Restoration - a Marriage & Family Therapy Professional Corpora

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MINDFUL RESTORATION - A MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORA

Practice address

4050 Katella Ave Ste 213
Los Alamitos, CA 90720-3486

Phone

(714) 350-2713

NPI assigned

Jan 7, 2020

Organization subpart

No

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

Authorized official

Name

Jodee Magacalas-Gossett, LMFT

Title

Owner/Therapist

Phone

(714) 350-2713

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1649810664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 KATELLA AVE STE 213",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203486",
            "telephone_number": "714-350-2713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 KATELLA AVE STE 213",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907203486",
            "telephone_number": "714-350-2713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDFUL RESTORATION - A MARRIAGE & FAMILY THERAPY PROFESSIONAL CORPORA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "MAGACALAS-GOSSETT",
        "authorized_official_first_name": "JODEE",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "714-350-2713",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Los Alamitos, CA
• Providers in Los Alamitos, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.