Golden State Clinical Counseling, a

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

GOLDEN STATE CLINICAL COUNSELING, A

Practice address

8880 Rio San Diego Dr Ste 800
San Diego, CA 92108-1642

Phone

(760) 557-5572

NPI assigned

Jun 19, 2021

Last updated

Apr 30, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Taylor Marie Tica, LPCCNPI 1912436205

Title

President

Phone

(760) 557-5572

Specialties & licenses 1

Addresses

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.

• Taylor Marie Tica, MA, LPCC

  • Mental Health Counselor
  • San Diego, CA
  • NPI 1912436205
  NPD Authorized official

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

{
    "created_epoch": "1624060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714435200000",
    "number": "1790354207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 RIO SAN DIEGO DR STE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081642",
            "telephone_number": "760-557-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 RIO SAN DIEGO DR STE 800",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081642",
            "telephone_number": "760-557-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN STATE CLINICAL COUNSELING, A",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-19",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A",
        "authorized_official_last_name": "TICA",
        "authorized_official_first_name": "TAYLOR",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-557-5572",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Golden Hills Subacute and Rehab
• Golden Hope for Equatorian (Priority First Medical Transport)
• Golden Living , Inc.
• Golden Living Health Management Inc
• Golden State Behavioral Health, Inc. (Strata Behavioral Healthcare)
• Golden View Learning Center, LLC
• Alberto Aquino Golden
• Andrew M. Golden, MD
• Denise Golden, MFT
• Jessica Golden, LPCC

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

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