Organization Active NPI

Abitare Family Counseling

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1780446070
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ABITARE FAMILY COUNSELING
Practice address
4181 Ruffin Rd Ste 150
San Diego, CA 92123-1876
Phone
(800) 613-8144
Fax
(619) 860-0676
NPI assigned
Jan 23, 2024
Last updated
Jul 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2024

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

Authorized official

Name
Josette Cannon
Title
Director
Phone
(619) 310-3633

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X
Family PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TF0000X

Addresses

Primary practice location

4181 Ruffin Rd Ste 150
San Diego, CA 92123-1876

Mailing address

4181 Ruffin Rd Ste 150
San Diego, CA 92123-1876
Phone (800) 613-8144

National Provider Directory

National Provider Directory

Locations

4181 Ruffin Rd
Ste 150
San Diego, CA 92123
Phone (619) 292-9490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1705968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1780446070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4181 RUFFIN RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231876",
            "telephone_number": "800-613-8144",
            "fax_number": "619-860-0676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4181 RUFFIN RD STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231876",
            "telephone_number": "800-613-8144",
            "fax_number": "619-860-0676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABITARE FAMILY COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-23",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A",
        "authorized_official_last_name": "CANNON",
        "authorized_official_first_name": "JOSETTE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-310-3633"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2024; 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.