Provider Demographics
NPI:1568896744
Name:ORANGE COUNTY COUNSELING CENTER
Entity Type:Organization
Organization Name:ORANGE COUNTY COUNSELING CENTER
Other - Org Name:MENTAL HEALTH SERVICES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:MUNSELL
Authorized Official - Suffix:
Authorized Official - Credentials:DD, LMFT
Authorized Official - Phone:714-363-4400
Mailing Address - Street 1:2230 W CHAPMAN AVE
Mailing Address - Street 2:STE. #216
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92868-2333
Mailing Address - Country:US
Mailing Address - Phone:714-363-4400
Mailing Address - Fax:
Practice Address - Street 1:2230 W CHAPMAN AVE
Practice Address - Street 2:STE. #216
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92868-2333
Practice Address - Country:US
Practice Address - Phone:714-363-4400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-24
Last Update Date:2013-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA27391101Y00000X, 101YA0400X, 101YM0800X, 101YP1600X, 101YP2500X, 106H00000X
CA75558101Y00000X, 101YM0800X, 101YP2500X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoralGroup - Single Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty