Hhsa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LCS13561 Issued in CA

Legal business name

HHSA

Practice address

1715 31St St
3320 Kemper St. Suite3104
San Diego, CA 92102-1425

Phone

(619) 758-6205

Fax

(619) 758-6209

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Joseph Michael Concellosi, LCSW

Title

Program Manager

Phone

(619) 758-6205

Specialties & licenses 1

Addresses

Other names 1

• County Mental Health Other name

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972632479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1715 31ST ST",
            "address_2": "3320 KEMPER ST. SUITE#104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021425",
            "telephone_number": "619-758-6205",
            "fax_number": "619-758-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1715 31ST ST",
            "address_2": "3320 KEMPER ST. SUITE3104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921021425",
            "telephone_number": "619-758-6205",
            "fax_number": "619-758-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HHSA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONCELLOSI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "619-758-6205",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCS13561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "County Mental Health",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Hhsa County of San Diego
• Hhsa Pharmacy
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• Hi-Tech Dental Office, Vincent H. Le D.D.S. Inc.
• Christine L Hiatt, AUD

• Mental Health Counselor in San Diego, CA
• Providers in San Diego, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.