Organization Active NPI

Soul Counseling Services

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1780335018
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SOUL COUNSELING SERVICES
Practice address
231 E Alessandro Blvd # 6A138
Riverside, CA 92508-5084
Phone
(951) 422-3035
NPI assigned
Jan 18, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2022

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

Authorized official

Name
Mrs. Laura E Gordillo, LMFTNPI 1962742676
Title
Therapist
Phone
(951) 213-5338

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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

231 E Alessandro Blvd # 6A138
Riverside, CA 92508-5084

Mailing address

231 E Alessandro Blvd # 6A138
Riverside, CA 92508-5084
Phone (951) 422-3035

Other names 1

  • SOUL Counseling Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address therapy@soulcounselingservices.com Direct

National Provider Directory

National Provider Directory

Locations

231 E Alessandro Blvd
#6A138
Riverside, CA 92508
Phone (951) 422-3035

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": "1642464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642464000000",
    "number": "1780335018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "231 E ALESSANDRO BLVD # 6A138",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085084",
            "telephone_number": "951-422-3035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 E ALESSANDRO BLVD # 6A138",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925085084",
            "telephone_number": "951-422-3035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUL COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-18",
        "last_updated": "2022-01-18",
        "certification_date": "2022-01-18",
        "status": "A",
        "authorized_official_last_name": "GORDILLO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "951-213-5338",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "therapy@soulcounselingservices.com",
            "affiliation": "N",
            "endpointDescription": "E-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "231 E Alessandro Blvd # 6A138",
            "city": "Riverside",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925085084",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "SOUL Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; 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.