Organization Active NPI

McCandless Family Counseling, Inc.

  • Marriage & Family Therapist
  • Fullerton, CA
National Provider Identifier
1720108558
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
39160 Issued in CA
Legal business name
MCCANDLESS FAMILY COUNSELING, INC.
Practice address
733 E Chapman Ave
Fullerton, CA 92831-3805
Phone
(714) 391-1003
Fax
(714) 992-4673
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Paul Montgomery McCandless, MFTNPI 1346369477
Title
Ceo
Phone
(714) 391-1003

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
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 39160 CA Primary

Addresses

Primary practice location

733 E Chapman Ave
Fullerton, CA 92831-3805

Mailing address

743 Barris Dr
Fullerton, CA 92832-1001
Phone (714) 391-1003

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720108558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 BARRIS DR",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321001",
            "telephone_number": "714-391-1003",
            "fax_number": "714-992-4673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 E CHAPMAN AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928313805",
            "telephone_number": "714-391-1003",
            "fax_number": "714-992-4673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCANDLESS FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCCANDLESS",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MONTGOMERY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "714-391-1003",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "39160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.