Organization Active NPI

Stepping Forward Group Professional

Doing business as SFCC

  • Mental Health Counselor
  • Irvine, CA
National Provider Identifier
1679389514
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
STEPPING FORWARD GROUP PROFESSIONAL
Doing business as
SFCC
Practice address
15375 Barranca Pkwy Ste D
Irvine, CA 92618-2206
Phone
(949) 333-1209
Fax
(949) 333-1209
NPI assigned
Dec 5, 2024
Last updated
Dec 5, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Authorized official

Name
Gary Pedneault, MD
Title
MD
Phone
(949) 333-1209

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinic/Center 261Q00000X

Addresses

Primary practice location

15375 Barranca Pkwy Ste D
Irvine, CA 92618-2206

Mailing address

15375 Barranca Pkwy Ste A201
Irvine, CA 92618-2204
Phone (949) 280-9254

Other names 1

  • SFCC Doing business as

National Provider Directory

National Provider Directory

Locations

15375 Barranca Pkwy
Ste A201
Irvine, CA 92618

15375 Barranca Pkwy
Ste D
Irvine, CA 92618
Phone (949) 333-1209

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1733356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733356800000",
    "number": "1679389514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE A201",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182204",
            "telephone_number": "949-280-9254",
            "fax_number": "949-333-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY STE D",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182206",
            "telephone_number": "949-333-1209",
            "fax_number": "949-333-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING FORWARD GROUP PROFESSIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-05",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A",
        "authorized_official_last_name": "PEDNEAULT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "949-333-1209",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SFCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2024; 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.