Organization Active NPI

Debbie Bristol and Associates Counseling Services

Doing business as Counseling Center

  • Marriage & Family Therapist
  • North Tustin, CA
National Provider Identifier
1821531856
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT22036 Issued in CA
Legal business name
DEBBIE BRISTOL AND ASSOCIATES COUNSELING SERVICES
Doing business as
Counseling Center
Practice address
1913 E 17TH St
Suite 119
North Tustin, CA 92705-8627
Phone
(714) 543-6720
Fax
(714) 543-6730
NPI assigned
Nov 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Authorized official

Name
Debbie Bristol, LMFT
Title
President
Phone
(714) 543-6720

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X MFT22036 CA Primary

Addresses

Primary practice location

1913 E 17TH St
Suite 119
North Tustin, CA 92705-8627

Mailing address

1913 E 17TH St
Suite 119
North Tustin, CA 92705-8627
Phone (714) 543-6720

Other names 1

  • Counseling Center Doing business as

National Provider Directory

National Provider Directory

Locations

1913 E 17th St
Ste 119
Santa Ana, CA 92705
Phone (714) 225-9428

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": "1479772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479772800000",
    "number": "1821531856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 E 17TH ST",
            "address_2": "SUITE 119",
            "city": "NORTH TUSTIN",
            "state": "CA",
            "postal_code": "927058627",
            "telephone_number": "714-543-6720",
            "fax_number": "714-543-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1913 E 17TH ST",
            "address_2": "SUITE 119",
            "city": "NORTH TUSTIN",
            "state": "CA",
            "postal_code": "927058627",
            "telephone_number": "714-543-6720",
            "fax_number": "714-543-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEBBIE BRISTOL AND ASSOCIATES COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-22",
        "last_updated": "2016-11-22",
        "status": "A",
        "authorized_official_last_name": "BRISTOL",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-543-6720",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT22036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2016; 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.