Organization Active NPI

Beauty for Ashes Transformation Center, Inc

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1699417204
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
BEAUTY FOR ASHES TRANSFORMATION CENTER, INC
Practice address
3160 Camino del Rio S Ste 116
San Diego, CA 92108-8933
Phone
(619) 352-0486
Fax
(619) 354-2752
NPI assigned
Apr 13, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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

Authorized official

Name
Elise Rodriguez, LMFTNPI 1114194925
Title
Ceo
Phone
(619) 952-9821

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3160 Camino del Rio S Ste 116
San Diego, CA 92108-8933

Mailing address

8617 Rinda LN
Spring Valley, CA 91977-4018
Phone (619) 952-9821

Other names 1

  • Beauty for Ashes Transformation Center Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649808000000",
    "number": "1699417204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8617 RINDA LN",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919774018",
            "telephone_number": "619-952-9821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3160 CAMINO DEL RIO S STE 116",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921088933",
            "telephone_number": "619-352-0486",
            "fax_number": "619-354-2752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTY FOR ASHES TRANSFORMATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ELISE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-952-9821",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Beauty for Ashes Transformation Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.