Organization Active NPI

Compassionate Heart Counseling

  • Marriage & Family Therapist
  • Antioch, CA
National Provider Identifier
1861077612
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COMPASSIONATE HEART COUNSELING
Practice address
2225 Buchanan Rd Ste H
Antioch, CA 94509-4209
Phone
(925) 226-8780
Fax
(925) 528-4565
NPI assigned
Mar 12, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Authorized official

Name
Ms. Kimally Samuels, LMFTNPI 1508047051
Title
President
Phone
(925) 226-8780

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

2225 Buchanan Rd Ste H
Antioch, CA 94509-4209

Mailing address

640 Bailey Rd # 482
Bay Point, CA 94565-4306
Phone (925) 226-8780

National Provider Directory

National Provider Directory

Locations

2225 Buchanan Rd
Ste H
Antioch, CA 94509
Phone (925) 226-8780

Practitioners & affiliated clinicians

Practitioners 1

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": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1861077612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BAILEY RD # 482",
            "city": "BAY POINT",
            "state": "CA",
            "postal_code": "945654306",
            "telephone_number": "925-226-8780",
            "fax_number": "925-528-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 BUCHANAN RD STE H",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945094209",
            "telephone_number": "925-226-8780",
            "fax_number": "925-528-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HEART COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "SAMUELS",
        "authorized_official_first_name": "KIMALLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-226-8780",
        "authorized_official_name_prefix": "Ms.",
        "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 Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.