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CAPTIVE HEARTS
NPI 1457975351
Counselor - Addiction (Substance Use Disorder) in Grover Beach, CA

Active since June 05, 2020
882 W GRAND AVE, GROVER BEACH, CA 93433(805) 481-4500 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2020, Jun 5, 2020 (2 updates tracked since 2020).

About Captive Hearts NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CAPTIVE HEARTS (NPI 1457975351) is a healthcare organization registered as an addiction (substance use disorder) in Grover Beach, California and active in the NPI registry since June 2020. The organization lists Elissa Rose Goodenough, Board Member/ Employee, as its authorized official.

NPPES Registry Identity

NPI1457975351
Entity TypeOrganization
Primary Taxonomy101YA0400X
Legal Business NameCAPTIVE HEARTS
Location Address882 W GRAND AVEGrover Beach, CA 93433-2134
Mailing Address882 W Grand AveGrover Beach, CA 93433-2134 · (805) 602-8751
Phone(805) 481-4500
Organization SubpartNo
Authorized OfficialElissa Rose GoodenoughBoard Member/ Employee · (805) 602-8751
Enumeration DateJune 5, 2020
Last NPPES UpdateJune 17, 20202 updates tracked since enumeration
NPPES CertifiedJune 17, 2020
✔ NPI 1457975351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
Also ListedCounselor · PastoralTaxonomy 101YP1600X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X
Also ListedPsychologist · RehabilitationTaxonomy 103TR0400X
Also ListedDriverTaxonomy 172A00000X
882 W GRAND AVE, Grover Beach, CA 93433
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Captive Hearts's NPI number?

The NPI number for Captive Hearts is 1457975351. It was assigned to this organization in the NPPES registry on June 5, 2020.

Where is Captive Hearts located?

Captive Hearts is located at 882 W Grand Ave, Grover Beach, CA 93433. The listed phone number is (805) 481-4500.

What is Captive Hearts's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Captive Hearts was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.