Individual provider Active NPI

Nathan Gabriel Klein

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1952975674
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
APCC8940 Issued in CA
Practice address
6832 Hyde Park Dr Unit F
San Diego, CA 92119-2246
Phone
(619) 439-9280
NPI assigned
May 17, 2021
Last updated
May 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC8940 CA Primary

Addresses

Primary practice location

6832 Hyde Park Dr Unit F
San Diego, CA 92119-2246

Mailing address

6832 Hyde Park Dr Unit F
San Diego, CA 92119-2246
Phone (619) 439-9280

Other practice location 1

6832 Hyde Park Dr Unit F
San Diego, CA 92119-2246
Phone (619) 439-9280

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APCC8940CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1621209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1952975674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6832 HYDE PARK DR UNIT F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192246",
            "telephone_number": "619-439-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6832 HYDE PARK DR UNIT F",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921192246",
            "telephone_number": "619-439-9280"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6832 Hyde Park Dr Unit F",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921192246",
            "country_code": "US",
            "telephone_number": "619-439-9280",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEIN",
        "first_name": "NATHAN",
        "middle_name": "GABRIEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-17",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC8940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.