Organization Active NPI

Psychcounsel

Doing business as The Industry Therapist LLC

  • Marriage & Family Therapist
  • Manhattan Beach, CA
National Provider Identifier
1952716284
Registry record updated Jun 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 45901 Issued in CA
Legal business name
PSYCHCOUNSEL
Doing business as
The Industry Therapist LLC
Practice address
1230 Rosecrans Ave
Suite 300
Manhattan Beach, CA 90266-2477
Phone
(310) 882-6805
NPI assigned
Jun 25, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2014

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

Authorized official

Name
Dr. Rebecca Roy, PH.D., LMFT
Title
Ceo
Phone
(310) 882-6805

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X MFC 45901 CA Primary

Addresses

Primary practice location

1230 Rosecrans Ave
Suite 300
Manhattan Beach, CA 90266-2477

Mailing address

1230 Rosecrans Ave
Suite 300
Manhattan Beach, CA 90266-2477
Phone (310) 882-6805

Other names 1

  • The Industry Therapist LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403654400000",
    "number": "1952716284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 ROSECRANS AVE",
            "address_2": "SUITE 300",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662477",
            "telephone_number": "310-882-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 ROSECRANS AVE",
            "address_2": "SUITE 300",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662477",
            "telephone_number": "310-882-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHCOUNSEL",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-25",
        "last_updated": "2014-06-25",
        "status": "A",
        "authorized_official_last_name": "ROY",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "310-882-6805",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 45901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Industry Therapist LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhattan Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2014; 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.