Organization Active NPI

Roundtable Counseling, Inc.

  • Marriage & Family Therapist
  • Camarillo, CA
National Provider Identifier
1922493790
Registry record updated Mar 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
36665 Issued in CA
Legal business name
ROUNDTABLE COUNSELING, INC.
Practice address
1000 Paseo Camarillo # 223
Camarillo, CA 93010-6021
Phone
(805) 388-3835
Fax
(805) 233-7933
NPI assigned
Mar 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2015

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

Authorized official

Name
Carolyn A Hall, M.A.
Title
President
Phone
(805) 407-7304

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 36665 CA Primary

Addresses

Primary practice location

1000 Paseo Camarillo # 223
Camarillo, CA 93010-6021

Mailing address

1000 Paseo Camarillo # 223
Camarillo, CA 93010-6021
Phone (805) 388-3835

Other identifiers 1

IdentifierTypeStateIssuer
1548566037OtherCANPI

National Provider Directory

National Provider Directory

Locations

1000 Paseo Camarillo
#223
Camarillo, CA 93010
Phone (805) 388-3835

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427673600000",
    "number": "1922493790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO # 223",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106021",
            "telephone_number": "805-388-3835",
            "fax_number": "805-233-7933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 PASEO CAMARILLO # 223",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930106021",
            "telephone_number": "805-388-3835",
            "fax_number": "805-233-7933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROUNDTABLE COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-30",
        "last_updated": "2015-03-30",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-407-7304",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "36665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1548566037",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2015; 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.