Central Coast Counseling Center, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

38335 Issued in CA

Legal business name

CENTRAL COAST COUNSELING CENTER, INC.

Doing business as

Central Coast Counseling Center

Practice address

2355 Lake Marie Drive
Santa Maria, CA 93455-5709

Phone

(805) 934-5088

Fax

(805) 937-0877

NPI assigned

Sep 5, 2007

Last updated

Apr 19, 2023By 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

Mrs. Mary Jo Pedersen, M.S.NPI 1407889686

Title

LMFT & Owner of C.C.C.C., Inc.

Phone

(805) 264-2584

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Central Coast Counseling Center Doing business as

Locations

Practitioners 2

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.

• Mary Jo Pedersen, LMFT

  • Mental Health Counselor
  • Santa Maria, CA
  • NPI 1407889686
  NPD Authorized official
• Crystal Blixt, LMFT

  • Marriage & Family Therapist
  • Bozeman, MT
  • NPI 1225220841
  NPD (past)

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1861686602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2234",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934572234",
            "telephone_number": "805-264-2584",
            "fax_number": "805-937-0877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2355 LAKE MARIE DRIVE",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934555709",
            "telephone_number": "805-934-5088",
            "fax_number": "805-937-0877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL COAST COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-05",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "LMFT & OWNER OF C.C.C.C., INC.",
        "authorized_official_telephone_number": "805-264-2584",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "38335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ69883Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "11688700",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Coast Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Central Coast Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kimberly Denise Cattaneo
• Ioana Blanca Cebulla, PHD CLINICAL PSYCH.
• Joseph Dean Centeno, MD
• Center for Pain Management, Inc.
• Center for Women's Health and Family Birth
• Central Coast Emotional Wellness Licensed Clinical Social Worker (Central Coast Emotional Wellness)
• Central Coast Family Care Medical Associates, Inc
• Central Coast Family Care Medical Associates, Inc (Central Coast Family Care)
• Central Coast Family Care Medical Associates, Inc (Central Coast Family Care Medical Associates of Santa Maria, Inc)
• Central Coast Family Care Medical Associates, Inc (Central Coast Family Care)

• Marriage & Family Therapist in Santa Maria, CA
• Providers in Santa Maria, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; 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.