Northeast Mental Health Clinic

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

RN409828 Issued in CA

Legal business name

NORTHEAST MENTAL HEALTH CLINIC

Practice address

5321 Via Marisol Avenue
Los Angeles, CA 90042

Phone

(323) 478-8200

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Christoper Contreras

Title

Assistant Mental Health Counselor

Phone

(323) 478-8200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669541942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 S. EUCLID AVENUE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "91106",
            "telephone_number": "626-799-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5321 VIA MARISOL AVENUE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90042",
            "telephone_number": "323-478-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST MENTAL HEALTH CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONTRERAS",
        "authorized_official_first_name": "CHRISTOPER",
        "authorized_official_title_or_position": "ASSISTANT MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "323-478-8200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "RN409828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Northeast Community Clinic
• Northeast Community Clinic
• Northeast Community Clinic
• Northeast Community Clinic
• Northeast Community Clinic
• Cymone Northington
• Wayne Thomas Northrup, ATC
• Northstar Transportation Service LLC
• Donald F Nortman, MD
• Chandler Norton, L.M.F.T.

• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, 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 Aug 22, 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.