Organization Active NPI

Shore Crest Family Counseling Services, Corp

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1962105932
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
SHORE CREST FAMILY COUNSELING SERVICES, CORP
Practice address
325 Carlsbad Village Dr Ste F2
Carlsbad, CA 92008-2928
Phone
(760) 579-1422
NPI assigned
Mar 27, 2023
Last updated
Mar 27, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Authorized official

Name
Kimberly S Nelson, LMFT
Title
Ceo / Owner
Phone
(760) 579-1422

Specialties & licenses 1

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

Addresses

Primary practice location

325 Carlsbad Village Dr Ste F2
Carlsbad, CA 92008-2928

Mailing address

325 Carlsbad Village Dr Ste F2
Carlsbad, CA 92008-2928

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1962105932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CARLSBAD VILLAGE DR STE F2",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CARLSBAD VILLAGE DR STE F2",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082928",
            "telephone_number": "760-579-1422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHORE CREST FAMILY COUNSELING SERVICES, CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-26",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "760-579-1422",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.