Organization Active NPI

Joe Raphael a Professional Marriage & Child Counseling Corporation

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1851941538
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
JOE RAPHAEL A PROFESSIONAL MARRIAGE & CHILD COUNSELING CORPORATION
Practice address
5405 Morehouse Dr Ste 120
San Diego, CA 92121-4723
Phone
(425) 954-5659
Fax
(425) 230-4884
NPI assigned
Sep 16, 2019
Last updated
Sep 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Authorized official

Name
Joe Raphael, LMFT
Title
President
Phone
(310) 779-8215

Specialties & licenses 1

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

Addresses

Primary practice location

5405 Morehouse Dr Ste 120
San Diego, CA 92121-4723

Mailing address

PO Box 1278
Lincolnton, NC 28093-1278
Phone (425) 954-5659

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1568592000000",
    "number": "1851941538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1278",
            "city": "LINCOLNTON",
            "state": "NC",
            "postal_code": "280931278",
            "telephone_number": "425-954-5659",
            "fax_number": "425-230-4884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5405 MOREHOUSE DR STE 120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921214723",
            "telephone_number": "425-954-5659",
            "fax_number": "425-230-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOE RAPHAEL A PROFESSIONAL MARRIAGE & CHILD COUNSELING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-09-16",
        "status": "A",
        "authorized_official_last_name": "RAPHAEL",
        "authorized_official_first_name": "JOE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-779-8215",
        "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": [],
    "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 Sep 16, 2019; 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.