Organization Active NPI

Familycounselingsandiego Com PC

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1659777662
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS24324 Issued in CA
Legal business name
FAMILYCOUNSELINGSANDIEGO COM PC
Practice address
10650 Scripps Ranch Blvd
Ste 131
San Diego, CA 92131-2470
Phone
(760) 498-1053
Fax
(619) 924-9931
NPI assigned
Nov 18, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Ms. Janet P Phillips, LCSW
Title
President
Phone
(760) 498-1053

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X LCS24324 CA Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X LMFT51509 CA

Addresses

Primary practice location

10650 Scripps Ranch Blvd
Ste 131
San Diego, CA 92131-2470

Mailing address

10650 Scripps Ranch Blvd
Ste 131
San Diego, CA 92131-2470
Phone (760) 498-1053

Other names 1

  • FamilyCounseilngSanDiego.com, Inc. Former legal business name

National Provider Directory

National Provider Directory

Locations

10650 Scripps Ranch Blvd
Ste 131
San Diego, CA 92131
Phone (760) 498-1053

10650 Scripps Ranch Blvd
Ste 200
San Diego, CA 92131
Phone (858) 883-8624

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": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1659777662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10650 SCRIPPS RANCH BLVD",
            "address_2": "STE 131",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312470",
            "telephone_number": "760-498-1053",
            "fax_number": "619-924-9931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10650 SCRIPPS RANCH BLVD",
            "address_2": "STE 131",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921312470",
            "telephone_number": "760-498-1053",
            "fax_number": "619-924-9931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILYCOUNSELINGSANDIEGO COM PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-498-1053",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS24324",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT51509",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FamilyCounseilngSanDiego.com, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.