NPIMap

Organization Active NPI

Redwood Counseling a Licensed Clinical Social Worker Professional Corp

  • Mental Health Counselor
  • Hemet, CA
National Provider Identifier
1710441993
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
REDWOOD COUNSELING A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP
Practice address
132 S Thompson St
Hemet, CA 92543-4351
Phone
(951) 652-2600
Fax
(951) 652-1101
NPI assigned
Jan 22, 2019
Last updated
Jan 22, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Authorized official

Name
Tobias Desjardins, LCSWNPI 1336187210
Title
Owner
Phone
(951) 652-2600

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 Counselor 101YM0800X NU Primary

Addresses

Primary practice location

132 S Thompson St
Hemet, CA 92543-4351

Mailing address

132 S Thompson St
Hemet, CA 92543-4351
Phone (951) 652-2600

National Provider Directory

National Provider Directory

Locations

132 S Thompson St
Hemet, CA 92543
Phone (951) 652-2600

Practitioners & affiliated clinicians

Practitioners 5

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": "1548115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548115200000",
    "number": "1710441993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 S THOMPSON ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434351",
            "telephone_number": "951-652-2600",
            "fax_number": "951-652-1101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 S THOMPSON ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925434351",
            "telephone_number": "951-652-2600",
            "fax_number": "951-652-1101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REDWOOD COUNSELING A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-22",
        "last_updated": "2019-01-22",
        "status": "A",
        "authorized_official_last_name": "DESJARDINS",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-652-2600",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2019; 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.