Organization Active NPI

Simplicity of Heart Counseling Service LLC

  • Counselor
  • Atwater, CA
National Provider Identifier
1689851669
Registry record updated Jan 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
R0979347 Issued in CA
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 LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 22, 2008

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)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X R0979347 CA Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X R0979347 CA
Child & Adolescent Psychiatry PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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.

Verify at the official NPI Registry.