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SOUTH COAST COUNSELING, INC.
NPI 1609209097
Substance Abuse Rehabilitation Facility in Costa Mesa, CA

Active since August 20, 2013CLIA 05D2070195 · Waiver
693 PLUMER ST, COSTA MESA, CA 92627(949) 642-0180 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About South Coast Counseling, Inc. NPPES

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

SOUTH COAST COUNSELING, INC. (NPI 1609209097) is a healthcare organization registered as a substance abuse rehabilitation facility in Costa Mesa, California and active in the NPI registry since August 2013. The organization holds a CLIA Waiver certificate valid through December 9, 2027 and lists Tahamtan Nematbakhsh, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609209097
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameSOUTH COAST COUNSELING, INC.
Location Address693 PLUMER STCosta Mesa, CA 92627-2720
Mailing Address693 Plumer StCosta Mesa, CA 92627-2720 · (949) 642-0180
Phone(949) 642-0180
Organization SubpartNo
Authorized OfficialTahamtan NematbakhshCeo · (949) 642-0180
Enumeration DateAugust 20, 2013
Last NPPES UpdateOctober 2, 2024
NPPES CertifiedOctober 2, 2024
✔ NPI 1609209097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in CA · 300012BN
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
693 PLUMER ST, Costa Mesa, CA 92627
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2070195

South Coast Counseling Inc · Costa Mesa, CA
Active · expires Dec 9, 2027
CLIA Number05D2070195
Laboratory TypeAlcohol - Drug Treatmen
Certificate Effective DateDecember 10, 2025
Certificate Expiration DateDecember 9, 2027
Laboratory DirectorLawrence A. Tucker
Laboratory Phone(949) 449-3422
Laboratory LocationSouth Coast Counseling Inc693 Plumer St, Costa Mesa, CA 92627
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 South Coast Counseling, Inc.'s NPI number?

The NPI number for South Coast Counseling, Inc. is 1609209097. It was assigned to this organization in the NPPES registry on August 20, 2013.

Where is South Coast Counseling, Inc. located?

South Coast Counseling, Inc. is located at 693 Plumer St, Costa Mesa, CA 92627. The listed phone number is (949) 642-0180.

What is South Coast Counseling, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does South Coast Counseling, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2070195) is associated with this NPI, valid through December 9, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for South Coast Counseling, Inc. was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.