NPIMap

Organization Active NPI

Socal Therapyworks, a Marriage and Family Therapy Corporation

  • Marriage & Family Therapist
  • San Marcos, CA
National Provider Identifier
1912511346
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SOCAL THERAPYWORKS, A MARRIAGE AND FAMILY THERAPY CORPORATION
Practice address
541 Ledge St
San Marcos, CA 92078-2840
Phone
(760) 583-2524
Fax
(760) 593-2430
NPI assigned
Sep 2, 2020
Last updated
Sep 2, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Racheal Rhoades, MFTNPI 1760515266
Title
MFT, Ceo
Phone
(760) 583-2524

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
Marriage & Family Therapist 106H00000X NU Primary

Addresses

Primary practice location

541 Ledge St
San Marcos, CA 92078-2840

Mailing address

541 Ledge St
San Marcos, CA 92078-2840
Phone (760) 583-2524

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260520004291 CA Part B Supplier - Clinic/Group Practice 3072082809 Receives reassigned benefits from 1 practitioner
Practice locations: San Marcos, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1912511346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 LEDGE ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782840",
            "telephone_number": "760-583-2524",
            "fax_number": "760-593-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 LEDGE ST",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782840",
            "telephone_number": "760-583-2524",
            "fax_number": "760-593-2430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL THERAPYWORKS, A MARRIAGE AND FAMILY THERAPY CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-02",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "RHOADES",
        "authorized_official_first_name": "RACHEAL",
        "authorized_official_title_or_position": "MFT, CEO",
        "authorized_official_telephone_number": "760-583-2524",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.