MEDICARE: ORANGE COUNTY ASSOCIATION FOR MENTAL HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1841320579
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORANGE COUNTY ASSOCIATION FOR MENTAL HEALTH

Provider Business Mailing Address
First Line	:	1971 E 4TH ST STE 130A
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-3917
Country	:	US
Telephone Number	:	714-547-7559
Fax Number	:	714-640-5768

Provider Business Practice Location Address
First Line	:	3055 W ORANGE AVE STE 105
Second Line	:
City	:	ANAHEIM
State	:	CA
Zip	:	92804-3152
Country	:	US
Telephone Number	:	714-638-8277
Fax Number	:	714-638-8343

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. JEFFREY A THRASH
Credential	:	MFT
Telephone Number	:	714-547-7559

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	01/28/2019

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