Theresa Goldstein, Professional Clinical Cousnelor, P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

THERESA GOLDSTEIN, PROFESSIONAL CLINICAL COUSNELOR, P.C.

Practice address

2615 PCH Hwy Ste 325
Hermosa Beach, CA 90254-2236

Phone

(818) 806-8767

NPI assigned

Jul 30, 2024

Organization subpart

No

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

Authorized official

Name

Theresa Goldstein, MA, LPCCNPI 1396481552

Title

Ceo, Owner, Secretary, Treasurer

Phone

(818) 806-8767

Specialties & licenses 1

Addresses

Practitioners 1

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

• Theresa Rose Goldstein, MA, APCC

  • Mental Health Counselor
  • Hermosa Beach, CA
  • NPI 1396481552
  NPD Authorized official

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

{
    "created_epoch": "1722297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722297600000",
    "number": "1982433801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 PCH HWY STE 325",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542236",
            "telephone_number": "818-806-8767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 PCH HWY STE 325",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542236",
            "telephone_number": "818-806-8767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERESA GOLDSTEIN, PROFESSIONAL CLINICAL COUSNELOR, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-30",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "GOLDSTEIN",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "CEO, OWNER, SECRETARY, TREASURER",
        "authorized_official_telephone_number": "818-806-8767",
        "authorized_official_credential": "MA, LPCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Therapy With Sabrina, Licensed Marriage & Family Therapist, Inc.
• Warren W Thio, MD
• Ronald James Thomas Jr., LMFT
• Larissa A Tittle, MA, MFT
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• Emily Torchiana, MA, AMFT, APCC

• Mental Health Counselor in Hermosa Beach, CA
• Providers in Hermosa Beach, 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 Jul 30, 2024; 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.