Family Outreach Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

MFT 28731 Issued in CA

Legal business name

FAMILY OUTREACH COUNSELING

Practice address

4401 Atlantic Ave Ste 231
Long Beach, CA 90807-2246

Phone

(562) 984-2012

Fax

(562) 984-2022

NPI assigned

Oct 29, 2012

Last updated

Oct 29, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mary M Simms, PH.DNPI 1912925900

Title

Director

Phone

(562) 984-2012

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mary M. Simms, M.F.T, PH.D

  • Professional Counselor
  • Long Beach, CA
  • NPI 1912925900
  NPD (past) Authorized official
• Trenae Warren'Dial, LCSW

  • Clinical Social Worker
  • Long Beach, CA
  • NPI 1124229844
  NPD (past)

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351468800000",
    "number": "1912251018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 231",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072246",
            "telephone_number": "562-984-2012",
            "fax_number": "562-984-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 ATLANTIC AVE STE 231",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908072246",
            "telephone_number": "562-984-2012",
            "fax_number": "562-984-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY OUTREACH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-29",
        "last_updated": "2012-10-29",
        "status": "A",
        "authorized_official_last_name": "SIMMS",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "562-984-2012",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "MFT 28731",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI UNDER MY PERSONAL NAME MARY M. SIMMS",
            "identifier": "1912925900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sean Fallon
• Families Uniting Families
• Family Care Spectrum Therapies
• Family Enrichment Housing & Development Corporation
• Family Health Care of Long Beach Medical GRP. Inc.
• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Planning Associates Medical Group Inc (FPA Women's Health)
• Family Seniors Medical Group, Inc
• Family Service
• Family Wheelchair Service

• Professional Counselor in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; 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.