Healthcare Provider Details

I. General information

NPI: 1013864370
Provider Name (Legal Business Name): RISING PINES COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/14/2026
Last Update Date: 03/14/2026
Certification Date: 03/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2230 W CHAPMAN AVE STE 126
ORANGE CA
92868-2316
US

IV. Provider business mailing address

1439 W CHAPMAN AVE STE 191
ORANGE CA
92868-2738
US

V. Phone/Fax

Practice location:
  • Phone: 714-408-9930
  • Fax:
Mailing address:
  • Phone: 714-408-9930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KAYLA PINEDA
Title or Position: CEO/CLINICAL THERAPIST
Credential: LCSW
Phone: 909-243-1994