Pacific Counseling Associates

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

PACIFIC COUNSELING ASSOCIATES

Practice address

1055 Donahue St
Unit 2
San Diego, CA 92110-1725

Phone

(619) 762-9300

Fax

(619) 272-0132

NPI assigned

Feb 15, 2017

Organization subpart

No

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

Authorized official

Name

Mr. George Kim Sutterfield, PH.D, MFTNPI 1538385653

Title

Psycotherapist

Phone

(619) 762-9300

Specialties & licenses 4

Addresses

Other names 2

• Pacific Counseling Associates Doing business as
• George Kim Sutterfield, Ph.D Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• George Kim Sutterfield, PH.D., MFT

  • Marriage & Family Therapist
  • San Diego, CA
  • NPI 1538385653
  NPD Authorized official

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1659810273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1055 DONAHUE ST",
            "address_2": "UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101725",
            "telephone_number": "619-762-9300",
            "fax_number": "619-272-0132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DONAHUE ST",
            "address_2": "UNIT 2",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921101725",
            "telephone_number": "619-762-9300",
            "fax_number": "619-272-0132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC COUNSELING ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A",
        "authorized_official_last_name": "SUTTERFIELD",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "PSYCOTHERAPIST",
        "authorized_official_telephone_number": "619-762-9300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PH.D, MFT"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT 18089",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pacific Counseling Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "George Kim Sutterfield, Ph.D",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Pacific Coast Psychiatric Associates Inc
• Pacific Coast Psychiatry Corporation
• Pacific Coast Rehabilitation and Pain Management
• Pacific Coast Surgical Group
• Pacific Colllege of Oriental Medicine, Inc
• Pacific Emergency Providers, a Prof. Corp.
• Pacific Endocrinology
• Pacific Express Transportation
• Pacific Health Care Systems, Inc.
• Pacific Imaging and Treatment

• Marriage & Family Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.