COASTAL MOUNTAIN YOUTH ACADEMY
NPI 1801156831
Counselor - Mental Health in San Juan Capistrano, CA

Q: What is Coastal Mountain Youth Academy's NPI number?

The NPI number for Coastal Mountain Youth Academy is 1801156831. It was assigned to this organization in the NPPES registry on May 23, 2012.

Q: What is Coastal Mountain Youth Academy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Active since May 23, 2012

33171 PASEO CERVEZA, SUITE 120, SAN JUAN CAPISTRANO, CA 92675(949) 498-7042(949) 248-2870 Get Directions Write a Review

NPPES record last updated: May 23, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Coastal Mountain Youth Academy NPPES

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

COASTAL MOUNTAIN YOUTH ACADEMY (NPI 1801156831) is a healthcare organization registered as a mental health in San Juan Capistrano, California and active in the NPI registry since May 2012. The organization lists Kelley White, Executive Program Director, as its authorized official.

NPPES Registry Identity

NPI1801156831

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCOASTAL MOUNTAIN YOUTH ACADEMY

Location Address33171 PASEO CERVEZA, SUITE 120San Juan Capistrano, CA 92675-4870

Mailing Address33171 Paseo Cerveza, Suite 120San Juan Capistrano, CA 92675-4870 · (949) 498-7042 · Fax (949) 248-2870

Phone(949) 498-7042

Fax(949) 248-2870

Organization SubpartNo

Authorized OfficialKelley WhiteExecutive Program Director · (949) 498-7042

Enumeration DateMay 23, 2012

✔ NPI 1801156831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · SchoolTaxonomy 101YS0200X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

33171 PASEO CERVEZA, San Juan Capistrano, CA 92675

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TRESTLES PAIN SPECIALISTS, LLC

Non-Pharmacy Dispensing Site

33171 PASEO CERVEZA, 207
SAN JUAN CAPISTRANO, CA 92675

Orange County (310) 650-9401

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 Coastal Mountain Youth Academy's NPI number?

The NPI number for Coastal Mountain Youth Academy is 1801156831. It was assigned to this organization in the NPPES registry on May 23, 2012.

Where is Coastal Mountain Youth Academy located?

Coastal Mountain Youth Academy is located at 33171 Paseo Cerveza Suite 120, San Juan Capistrano, CA 92675. The listed phone number is (949) 498-7042.

What is Coastal Mountain Youth Academy's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Coastal Mountain Youth Academy was last updated on May 23, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.