A Salted Lyfe

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

A SALTED LYFE

Practice address

302 N El Camino Real Ste 202
San Clemente, CA 92672-4778

Phone

(949) 682-5521

NPI assigned

Jun 4, 2021

Organization subpart

No

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

Authorized official

Name

Lyssa Kerrigan, LPCCNPI 1205344736

Title

Owner

Phone

(949) 682-5521

Specialties & licenses 1

Addresses

Other names 1

• SALT Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Lyssa Kerrigan

  • Professional Counselor
  • San Clemente, CA
  • NPI 1205344736
  NPD Authorized official

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

{
    "created_epoch": "1622764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1622764800000",
    "number": "1700453263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 202",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724778",
            "telephone_number": "949-682-5521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 N EL CAMINO REAL STE 202",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926724778",
            "telephone_number": "949-682-5521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SALTED LYFE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A",
        "authorized_official_last_name": "KERRIGAN",
        "authorized_official_first_name": "LYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-682-5521",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SALT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• 1918 Winter Street Operating Co LLC
• 1918 Winter Street Operating Co LLC
• A Allan Young DDS
• A-1 Home Healthcare, Inc.
• Betsy Ann Aasland, MS, O.T.R.
• Samey Abdulrub, PHARMD
• Rick Abelson, O.D.
• Norton R Abramson, M.D.

• Mental Health Clinic/Center (Including Community Mental Health Center) in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.