Maple Counseling Center

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC39699 Issued in CA

Legal business name

MAPLE COUNSELING CENTER

Practice address

2021 Sperry Ave Ste 41
Ventura, CA 93003-7417

Phone

(805) 407-8235

Fax

(805) 272-9370

NPI assigned

Nov 14, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Destiny Champion, M.A. L.M.F.T

Title

Marriage and Family Therapist

Phone

(805) 407-8235

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1415923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493683200000",
    "number": "1891191086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "438 AVENIDA DEL RECREO",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930239608",
            "telephone_number": "805-407-8235",
            "fax_number": "805-272-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 SPERRY AVE STE 41",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930037417",
            "telephone_number": "805-407-8235",
            "fax_number": "805-272-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAPLE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-14",
        "last_updated": "2017-05-02",
        "status": "A",
        "authorized_official_last_name": "CHAMPION",
        "authorized_official_first_name": "DESTINY",
        "authorized_official_title_or_position": "MARRIAGE AND FAMILY THERAPIST",
        "authorized_official_telephone_number": "805-407-8235",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A. L.M.F.T"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC39699",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF74915",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophia Monique Manson
• Craig S Mansour, MD
• Brandy McKaig Manzano, MSG, MSW
• Francisco Manzo, BSN, RN, PHN
• Yenifer Yesica Manzo, FNP
• Gail Ellen Marasse, DC, PHD
• Marc Reinoso, M.D. Inc
• Srivikram Margam S, DO
• Lisa A. Marie, PH.D., M.A.
• Edwin Marinez

• Marriage & Family Therapist in Ventura, CA
• Providers in Ventura, 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 May 2, 2017; 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.