Active NPI
Evening Star Counseling
- Mental Health Counselor
- San Clemente, CA
National Provider Identifier
1891596797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- EVENING STAR COUNSELING
- Practice address
- 665 Camino de Los Mares Ste 203a
San Clemente, CA 92673-2836 - Phone
- (949) 363-3456
- Fax
- (949) 493-4622
- NPI assigned
- Mar 24, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Mary Christie, LPCC
- Title
- President
- Phone
- (949) 363-3456
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
665 Camino de Los Mares Ste 203a
San Clemente, CA 92673-2836
Mailing address
25544 Paseo la Vis
Laguna Niguel, CA 92677-4401
Phone (949) 363-3456
Other names 1
- Mary Christie
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250613000161 | CA | Part B Supplier - Clinic/Group Practice | 8527579929 |
Receives reassigned benefits from 1 practitioner Practice locations: San Clemente, CA |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1742774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751414400000",
"number": "1891596797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25544 PASEO LA VIS",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926774401",
"telephone_number": "949-363-3456",
"fax_number": "949-493-4622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "665 CAMINO DE LOS MARES STE 203A",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926732836",
"telephone_number": "949-363-3456",
"fax_number": "949-493-4622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EVENING STAR COUNSELING",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-24",
"last_updated": "2025-07-02",
"certification_date": "2025-07-02",
"status": "A",
"authorized_official_last_name": "CHRISTIE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "949-363-3456",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LPCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mary Christie",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mary Christie",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in San Clemente, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.