Organization Active NPI

Grace Family Counseling Inc

  • Professional Counselor
  • Temecula, CA
National Provider Identifier
1912473950
Registry record updated Oct 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GRACE FAMILY COUNSELING INC
Practice address
43397 Business Park Dr Ste D8
Temecula, CA 92590-3686
Phone
(951) 365-1518
NPI assigned
Oct 17, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2018

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

Authorized official

Name
Cindy Brock
Title
LPCC
Phone
(951) 365-1518

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

43397 Business Park Dr Ste D8
Temecula, CA 92590-3686

Mailing address

PO Box 1082
Temecula, CA 92593-1082

National Provider Directory

National Provider Directory

Locations

43397 Business Park Dr
Ste D8
Temecula, CA 92590
Phone (951) 365-1518

NPI Registry JSON

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

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1912473950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1082",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925931082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43397 BUSINESS PARK DR STE D8",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925903686",
            "telephone_number": "951-365-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE FAMILY COUNSELING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "BROCK",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "LPCC",
        "authorized_official_telephone_number": "951-365-1518"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; 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.