NPIMap

Organization Active NPI

Camarillo Center for Individual and Family Counseling, Inc.

  • Mental Health Counselor
  • Camarillo, CA
National Provider Identifier
1780150276
Registry record updated Oct 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CAMARILLO CENTER FOR INDIVIDUAL AND FAMILY COUNSELING, INC.
Practice address
1601 Carmen Dr Ste 102
Camarillo, CA 93010-3103
Phone
(805) 625-3786
Fax
(805) 427-9047
NPI assigned
Oct 23, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2018

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

Authorized official

Name
Mrs. Leslie Elizabeth MirandaNPI 1275910143
Title
President
Phone
(805) 625-3786

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X

Addresses

Primary practice location

1601 Carmen Dr Ste 102
Camarillo, CA 93010-3103

Mailing address

1601 Carmen Dr Ste 102
Camarillo, CA 93010-3103
Phone (805) 625-3786

National Provider Directory

National Provider Directory

Locations

1601 Carmen Dr
Ste 102
Camarillo, CA 93010
Phone (805) 625-3786

Practitioners & affiliated clinicians

Practitioners 2

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": "1540252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540252800000",
    "number": "1780150276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 102",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103103",
            "telephone_number": "805-625-3786",
            "fax_number": "805-427-9047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CARMEN DR STE 102",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930103103",
            "telephone_number": "805-625-3786",
            "fax_number": "805-427-9047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAMARILLO CENTER FOR INDIVIDUAL AND FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-23",
        "last_updated": "2018-10-23",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-625-3786",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; 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.