Organization Active NPI

Che Ajal Family Counseling Center Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
National Provider Identifier
1902428089
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
CHE AJAL FAMILY COUNSELING CENTER INC.
Practice address
2165 San Diego Ave Ste 101
San Diego, CA 92110-2907
Phone
(619) 779-0078
Fax
(619) 407-9049
NPI assigned
May 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Beverly Genoveva Fuentes, LMFT 106356NPI 1427377092
Title
Ceo
Phone
(619) 779-0078

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 Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2165 San Diego Ave Ste 101
San Diego, CA 92110-2907

Mailing address

2165 San Diego Ave Ste 101
San Diego, CA 92110-2907
Phone (619) 779-0078

National Provider Directory

National Provider Directory

Locations

2165 San Diego Ave
Ste 101
San Diego, CA 92110
Phone (619) 779-0078

Practitioners & affiliated clinicians

Practitioners 4

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": "1589241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1902428089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2165 SAN DIEGO AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102907",
            "telephone_number": "619-779-0078",
            "fax_number": "619-407-9049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2165 SAN DIEGO AVE STE 101",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102907",
            "telephone_number": "619-779-0078",
            "fax_number": "619-407-9049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHE AJAL FAMILY COUNSELING CENTER INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "FUENTES",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "GENOVEVA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-779-0078",
        "authorized_official_credential": "LMFT 106356"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2025; 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.