NPIMap

Organization Active NPI

Charles Golodner Counseling Group

  • Addiction (Substance Use Disorder) Psychologist
  • Santa Maria, CA
National Provider Identifier
1902000284
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) PsychologistTaxonomy code 103TA0400X
License
MFC29535 Issued in CA
Legal business name
CHARLES GOLODNER COUNSELING GROUP
Practice address
301 S Miller St
105
Santa Maria, CA 93454-5205
Phone
(805) 349-2255
Fax
(805) 739-0237
NPI assigned
Jun 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Charles Golodner, MFT
Title
Director
Phone
(805) 349-2255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TA0400X MFC29535 CA Primary

Addresses

Primary practice location

301 S Miller St
105
Santa Maria, CA 93454-5205

Mailing address

301 S Miller St
105
Santa Maria, CA 93454-5205
Phone (805) 349-2255

National Provider Directory

National Provider Directory
Tax ID family
Charles Golodner Counnseling Group2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1902000284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MILLER ST",
            "address_2": "105",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545205",
            "telephone_number": "805-349-2255",
            "fax_number": "805-739-0237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MILLER ST",
            "address_2": "105",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934545205",
            "telephone_number": "805-349-2255",
            "fax_number": "805-739-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES GOLODNER COUNSELING GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOLODNER",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "805-349-2255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "MFC29535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.