The Temecula Center of Pastoral Counseling

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

THE TEMECULA CENTER OF PASTORAL COUNSELING

Practice address

28545 Felix Valdez Ave
Suite B-1
Temecula, CA 92590-1859

Phone

(951) 240-5250

NPI assigned

Jun 5, 2009

Organization subpart

No

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

Authorized official

Name

Jerry Pine, M.DIV., ED.S.NPI 1609015940

Title

Owner

Phone

(951) 240-5250

Specialties & licenses 4

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jerry Pine, M.DIV., ED.S.

  • Pastoral Counselor
  • Temecula, CA
  • NPI 1609015940
  NPD (past) Authorized official
• Dora Clarke-Pine, PH.D.

  • Professional Counselor
  • Temecula, CA
  • NPI 1386870269

  Pastoral

  NPD (past)

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

{
    "created_epoch": "1244160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244160000000",
    "number": "1962638890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28545 FELIX VALDEZ AVE",
            "address_2": "SUITE B-1",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901859",
            "telephone_number": "951-240-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28545 FELIX VALDEZ AVE",
            "address_2": "SUITE B-1",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925901859",
            "telephone_number": "951-240-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TEMECULA CENTER OF PASTORAL COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-05",
        "last_updated": "2009-06-05",
        "status": "A",
        "authorized_official_last_name": "PINE",
        "authorized_official_first_name": "JERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-240-5250",
        "authorized_official_credential": "M.DIV., ED.S."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, School",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Temecula, CA
• Providers in Temecula, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2009; 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.