Columbine Counseling Center

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

MFT30749 Issued in CA

Legal business name

COLUMBINE COUNSELING CENTER

Practice address

22984 Twain Harte Drive
Twain Harte, CA 95383

Phone

(209) 586-6868

NPI assigned

Feb 19, 2009

Last updated

Feb 19, 2009By 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

Mr. John Jack Pool, MFT

Title

Owner

Phone

(209) 586-6868

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235001600000",
    "number": "1851530562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1477",
            "city": "TWAIN HARTE",
            "state": "CA",
            "postal_code": "953831477",
            "telephone_number": "209-586-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22984 TWAIN HARTE DRIVE",
            "city": "TWAIN HARTE",
            "state": "CA",
            "postal_code": "95383",
            "telephone_number": "209-586-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBINE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "POOL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JACK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-586-6868",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "MFT30749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard E Behymer, M.D.
• Lisa Berg, CWC I
• Darlene Brunel, RDH
• Elizabeth Bryun
• Michael Raymond Clark
• Robert Marvin Crawford
• Crosby Pharmacy Inc (Twain Harte Pharmacy)
• Dental Practice of DRS. McKelvey & Grossman, a Prof. Dental Corp. (Twain Harte Family Dental Care)
• FGB Behavioral Consulting, LLC
• Phillip Grossman, D.D.S.

• Community/Behavioral Health Agency in Twain Harte, CA
• Providers in Twain Harte, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2009; 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.