Organization Active NPI

Athena Counseling Center

  • Marriage & Family Therapist
  • Moreno Valley, CA
National Provider Identifier
1669527206
Registry record updated Jul 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC18371 Issued in CA
Legal business name
ATHENA COUNSELING CENTER
Practice address
23470 Olive Wood Plaza Dr Ste 140
Moreno Valley, CA 92553-5220
Phone
(951) 242-6039
Fax
(951) 247-4593
NPI assigned
Jan 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2008

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

Authorized official

Name
Mrs. Isuzu Fujita Hopper, M.F.TNPI 1376560318
Title
Owner
Phone
(951) 242-6039

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFC18371 CA Primary

Addresses

Primary practice location

23470 Olive Wood Plaza Dr Ste 140
Moreno Valley, CA 92553-5220

Mailing address

PO Box 7629
Moreno Valley, CA 92552-7629
Phone (951) 242-6039

National Provider Directory

National Provider Directory

Locations

23470 Olive Wood Plaza Dr
Ste 140
Moreno Valley, CA 92553
Phone (951) 242-6039

Practitioners & affiliated clinicians

Practitioners 2

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216080000000",
    "number": "1669527206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7629",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925527629",
            "telephone_number": "951-242-6039",
            "fax_number": "951-247-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23470 OLIVE WOOD PLAZA DR STE 140",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925535220",
            "telephone_number": "951-242-6039",
            "fax_number": "951-247-4593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATHENA COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-07-15",
        "status": "A",
        "authorized_official_last_name": "HOPPER",
        "authorized_official_first_name": "ISUZU",
        "authorized_official_middle_name": "FUJITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-242-6039",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.F.T"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC18371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.