NPIMap

Organization Active NPI

Child Guidance Center, Inc.

  • Community/Behavioral Health Agency
  • Buena Park, CA
National Provider Identifier
1740300128
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
910-1912-5 Issued in CA
Legal business name
CHILD GUIDANCE CENTER, INC.
Practice address
6301 Beach Blvd Ste 245&205
Buena Park, CA 90621-2840
Phone
(714) 736-0231
Fax
(714) 736-0895
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Authorized official

Name
Miss Lori Pack, LCSWNPI 1538229299
Title
Executive Director
Phone
(714) 953-4455

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 910-1912-5 CA Primary

Addresses

Primary practice location

6301 Beach Blvd Ste 245&205
Buena Park, CA 90621-2840

Mailing address

6301 Beach Blvd
Suite 245
Buena Park, CA 90621-2840
Phone (714) 736-0231

Other identifiers 1

IdentifierTypeStateIssuer
910-1912-5OtherCASTATE ID

Other names 1

  • CYS Child Guidance Center, Inc. Buena Park Other name

National Provider Directory

National Provider Directory
Tax ID family
Child Guidance Center Inc4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6301 Beach Blvd
Ste 245
Buena Park, CA 90621
Phone (714) 736-0231

6301 Beach Blvd
Ste 245205
Buena Park, CA 90621
Phone (714) 736-0231

Practitioners & affiliated clinicians

Practitioners 42

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.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751241600000",
    "number": "1740300128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD",
            "address_2": "SUITE 245",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-736-0231",
            "fax_number": "714-736-0895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD STE 245&205",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-736-0231",
            "fax_number": "714-736-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILD GUIDANCE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A",
        "authorized_official_last_name": "PACK",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "714-953-4455",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "910-1912-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE ID",
            "identifier": "910-1912-5",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CYS Child Guidance Center, Inc. Buena Park",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CYS Child Guidance Center, Inc. Buena Park",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Buena Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; 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.