Eating Disorder and Ocd Therapy, a Professional Clinical Counselor Cor

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

EATING DISORDER AND OCD THERAPY, A PROFESSIONAL CLINICAL COUNSELOR COR

Practice address

1804 Cable St
San Diego, CA 92107-3141

Phone

(619) 839-9155

NPI assigned

Jan 24, 2023

Organization subpart

No

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

Authorized official

Name

Allyson Ford, LPCCNPI 1790210383

Title

Owner, Ceo

Phone

(253) 414-7498

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Eating Disorder & OCD Therapy, a professional clinical counselor corpo Other name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Allyson Inez Ford, LPCC

  • Professional Counselor
  • San Diego, CA
  • NPI 1790210383
  NPD Authorized official

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

{
    "created_epoch": "1674518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674518400000",
    "number": "1902512015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 BROADWAY # 5064",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921015107",
            "telephone_number": "619-839-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1804 CABLE ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921073141",
            "telephone_number": "619-839-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDER AND OCD THERAPY, A PROFESSIONAL CLINICAL COUNSELOR COR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-24",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A",
        "authorized_official_last_name": "FORD",
        "authorized_official_first_name": "ALLYSON",
        "authorized_official_title_or_position": "OWNER, CEO",
        "authorized_official_telephone_number": "253-414-7498",
        "authorized_official_credential": "LPCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1790210383",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.simplepractice.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Patient Info",
            "address_1": "1804 Cable St",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921073141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Eating Disorder & OCD Therapy, a professional clinical counselor corpo",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Myriam Poplawsky Easton, MFT
• Rosalie J Easton, PH D
• Tayler Easton
• Easy Living @ Mira Mesa
• Jesalyn J Eatchel
• Jamiron Eatmon
• Robyn K Eatmon, PH.D.
• Audrey Lynn Eaton, NURSE PRACTITIONER
• Gary M Eaton, MD
• Jeffrey S. Eaton, M.D.

• Professional Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.