Organization Active NPI

Amazeen Consulting and Counseling, Inc.

  • Counselor
  • La Quinta, CA
National Provider Identifier
1770163255
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
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

Updated by the provider on Apr 9, 2021

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)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
C4701035OtherCACALIFORNIA EMPLOYMENT DEVELOPMENT DEPARTMENT

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL amazeencounseling@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "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.

Verify at the official NPI Registry.