Organization Active NPI

Stepping Forward Counseling Center, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Irvine, CA
National Provider Identifier
1760875512
Registry record updated Dec 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
STEPPING FORWARD COUNSELING CENTER, LLC
Doing business as
SFCC
Practice address
15375 Barranca Pkwy
Unit B101
Irvine, CA 92618-2217
Phone
(949) 333-1209
Fax
(949) 333-1208
NPI assigned
Mar 17, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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

Authorized official

Name
Mr. Gary Pedneault, M.D.
Title
Director
Phone
(949) 529-4050

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

15375 Barranca Pkwy
Unit B101
Irvine, CA 92618-2217

Mailing address

15375 Barranca Pkwy
Unit B101
Irvine, CA 92618-2217
Phone (949) 333-1209

Other names 1

  • SFCC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1426550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1760875512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY",
            "address_2": "UNIT B101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182217",
            "telephone_number": "949-333-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15375 BARRANCA PKWY",
            "address_2": "UNIT B101",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182217",
            "telephone_number": "949-333-1209",
            "fax_number": "949-333-1208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEPPING FORWARD COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-17",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "PEDNEAULT",
        "authorized_official_first_name": "GARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "949-529-4050",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SFCC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2016; 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.