NPIMap

Organization Active NPI

Anchored California Licensed Professional Clinical Counselor, Inc.

Doing business as Anchored California

  • Mental Health Counselor
  • Vallejo, CA
National Provider Identifier
1881318012
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANCHORED CALIFORNIA LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC.
Doing business as
Anchored California
Practice address
419 Georgia St Ste 11
Vallejo, CA 94590-6046
Phone
(707) 652-5442
Fax
(707) 651-9426
NPI assigned
Sep 30, 2022
Last updated
Oct 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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

Authorized official

Name
Mrs. Amanda Summers, LPCC LPCNPI 1396181343
Title
Owner
Phone
(707) 688-8859

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
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

419 Georgia St Ste 11
Vallejo, CA 94590-6046

Mailing address

419 Georgia St Ste 11
Vallejo, CA 94590-6046
Phone (707) 652-5442

Other names 1

  • Anchored California Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1881318012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 GEORGIA ST STE 11",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906046",
            "telephone_number": "707-652-5442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 GEORGIA ST STE 11",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945906046",
            "telephone_number": "707-652-5442",
            "fax_number": "707-651-9426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANCHORED CALIFORNIA LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-30",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "SUMMERS",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-688-8859",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPCC LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anchored California",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Anchored California",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.