Active NPI
Simplicity of Heart Counseling Service LLC
- Counselor
- Atwater, CA
National Provider Identifier
1689851669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- R0979347
- Legal business name
- SIMPLICITY OF HEART COUNSELING SERVICE LLC
- Practice address
- 1201 Cedar Avenue
Atwater, CA 95301 - Phone
- (209) 357-3220
- Fax
- (209) 357-3220
- NPI assigned
- Jan 22, 2008
- Organization subpart
- Yes
- Parent organization
- SIMPLICITY OF HEART COUNSELING SERVICE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Manuel C Reyes, MFT PHD
- Title
- Ceo
- Phone
- (209) 357-3220
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | R0979347 | CA | Primary |
| Family Medicine Physician | 207Q00000X | R0979347 | CA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | R0979347 | CA |
Addresses
Primary practice location
1201 Cedar Avenue
Atwater, CA 95301
Mailing address
1201 Cedar Avenue
Atwater, CA 95301
Phone (209) 357-3220
National Provider Directory
National Provider Directory- Part of
- Simplicity of Heart Counseling Service LLC
Locations
1201 Cedar Ave
Atwater, CA 95301
Phone (209) 357-3220
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200960000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200960000000",
"number": "1689851669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 CEDAR AVENUE",
"city": "ATWATER",
"state": "CA",
"postal_code": "95301",
"telephone_number": "209-357-3220",
"fax_number": "209-357-3220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 CEDAR AVENUE",
"city": "ATWATER",
"state": "CA",
"postal_code": "95301",
"telephone_number": "209-357-3220",
"fax_number": "209-357-3220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIMPLICITY OF HEART COUNSELING SERVICE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SIMPLICITY OF HEART COUNSELING SERVICE LLC",
"enumeration_date": "2008-01-22",
"last_updated": "2008-01-22",
"status": "A",
"authorized_official_last_name": "REYES",
"authorized_official_first_name": "MANUEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-357-3220",
"authorized_official_credential": "MFT PHD"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": "CA",
"license": "R0979347",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "R0979347",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "CA",
"license": "R0979347",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atwater, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 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.