Organization Active NPI

Coastal Haven Marriage Family Therapy Inc

  • Marriage & Family Therapist
  • Arcata, CA
National Provider Identifier
1881453884
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
COASTAL HAVEN MARRIAGE FAMILY THERAPY INC
Practice address
665 F St
Arcata, CA 95521-6365
Phone
(818) 808-5291
NPI assigned
Mar 13, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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

Authorized official

Name
Halie EscardaNPI 1144978438
Title
Director/ Owner
Phone
(818) 808-5291

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

665 F St
Arcata, CA 95521-6365

Mailing address

1259 Pedroni Rd
McKinleyville, CA 95519-7134

National Provider Directory

National Provider Directory

Locations

665 F St
Arcata, CA 95521
Phone (707) 267-4421

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": "1710288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710288000000",
    "number": "1881453884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 PEDRONI RD",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955197134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 F ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216365",
            "telephone_number": "818-808-5291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL HAVEN MARRIAGE FAMILY THERAPY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A",
        "authorized_official_last_name": "ESCARDA",
        "authorized_official_first_name": "HALIE",
        "authorized_official_title_or_position": "DIRECTOR/ OWNER",
        "authorized_official_telephone_number": "818-808-5291"
    },
    "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 Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.