Active NPI
Amazeen Consulting and Counseling, Inc.
- Counselor
- La Quinta, CA
National Provider Identifier
1770163255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- AMAZEEN CONSULTING AND COUNSELING, INC.
- Practice address
- 50620 Eisenhower Dr # G-102
La Quinta, CA 92253-2394 - Phone
- (760) 641-3403
- Fax
- (760) 320-3733
- NPI assigned
- Apr 9, 2021
- 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
- Dr. David Amazeen, LMFT
- Title
- President
- Phone
- (760) 641-3403
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
50620 Eisenhower Dr # G-102
La Quinta, CA 92253-2394
Mailing address
50620 Eisenhower Dr # G-102
La Quinta, CA 92253-2394
Phone (760) 641-3403
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C4701035 | Other | CA | CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | amazeencounseling@gmail.com |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Blythe, CA
- NPI 1851596852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1617926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1617926400000",
"number": "1770163255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50620 EISENHOWER DR # G-102",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532394",
"telephone_number": "760-641-3403",
"fax_number": "760-320-3733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50620 EISENHOWER DR # G-102",
"city": "LA QUINTA",
"state": "CA",
"postal_code": "922532394",
"telephone_number": "760-641-3403",
"fax_number": "760-320-3733"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMAZEEN CONSULTING AND COUNSELING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-09",
"last_updated": "2021-04-09",
"certification_date": "2021-04-05",
"status": "A",
"authorized_official_last_name": "AMAZEEN",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-641-3403",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT",
"identifier": "C4701035",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "amazeencounseling@gmail.com",
"affiliation": "N",
"address_1": "50620 Eisenhower Dr # G-102",
"city": "LA Quinta",
"state": "CA",
"country_code": "US",
"postal_code": "922532394",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in La Quinta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.