NPIMap

Organization Active NPI

Amanecer Community Counseling Service, a Non-Profit Corporation

  • Community/Behavioral Health Agency
  • Lynwood, CA
National Provider Identifier
1962882332
Registry record updated Mar 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
AMANECER COMMUNITY COUNSELING SERVICE, A NON-PROFIT CORPORATION
Practice address
3680 E Imperial Hwy Ste 480
Lynwood, CA 90262-2662
Phone
(213) 265-1099
NPI assigned
Jun 1, 2015
Reactivated
Jul 28, 2022
Last updated
Mar 14, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2023

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

Authorized official

Name
Teddie Valenzuela
Title
Executive Director
Phone
(213) 481-7464

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Primary

Addresses

Primary practice location

3680 E Imperial Hwy Ste 480
Lynwood, CA 90262-2662

Mailing address

3680 E Imperial Hwy Ste 480
Lynwood, CA 90262-2662
Phone (213) 265-1099

National Provider Directory

National Provider Directory
Tax ID family
Community Counseling SE3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

3701 Stocker St
Ste 402
View Park, CA 90008
Phone (213) 784-9956

Practitioners & affiliated clinicians

Practitioners 38

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.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1433116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678752000000",
    "number": "1962882332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY STE 480",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622662",
            "telephone_number": "213-265-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3680 E IMPERIAL HWY STE 480",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622662",
            "telephone_number": "213-265-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMANECER COMMUNITY COUNSELING SERVICE, A NON-PROFIT CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-01",
        "last_updated": "2023-03-14",
        "certification_date": "2023-03-03",
        "deactivation_date": "2022-07-01",
        "reactivation_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "VALENZUELA",
        "authorized_official_first_name": "TEDDIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "213-481-7464"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.