Active NPI
Opus Counseling Services a Licensed Clinical Social Worker Corporation
- Clinical Social Worker
- Signal Hill, CA
National Provider Identifier
1760023964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- OPUS COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER CORPORATION
- Practice address
- 2698 Dawson Ave Ste G
Signal Hill, CA 90755-2066 - Phone
- (562) 619-9700
- NPI assigned
- Sep 30, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Villagomez, LCSW
- Title
- Administrator
- Phone
- (562) 619-9700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
2698 Dawson Ave Ste G
Signal Hill, CA 90755-2066
Mailing address
3553 Atlantic Ave # 670
Long Beach, CA 90807-5606
Other names 1
- Opus Counseling Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@kathleencounseling.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3553 Atlantic Ave
#670
Long Beach, CA 90807
3553 Atlantic Ave
Ste 670
Long Beach, CA 90807
2698 Dawson Ave
Ste G
Signal Hill, CA 90755
Phone (562) 452-4810
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Signal Hill, CA
- NPI 1144309352
-
- Marriage & Family Therapist
- Signal Hill, CA
- NPI 1861187239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569801600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686528000000",
"number": "1760023964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3553 ATLANTIC AVE # 670",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908075606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2698 DAWSON AVE STE G",
"city": "SIGNAL HILL",
"state": "CA",
"postal_code": "907552066",
"telephone_number": "562-619-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPUS COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-09-30",
"last_updated": "2023-06-12",
"certification_date": "2023-05-05",
"status": "A",
"authorized_official_last_name": "VILLAGOMEZ",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "562-619-9700",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@kathleencounseling.com",
"affiliation": "N",
"endpointDescription": "encrypted for security email address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "encrypted messaging",
"address_1": "2301 E 28th St Ste 309",
"city": "Signal Hill",
"state": "CA",
"country_code": "US",
"postal_code": "907552181",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Opus Counseling Services",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Opus Counseling Services",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Signal Hill, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.