✓ Licensed & Credentialed Community/Behavioral Health (251S00000X) ✓ HHS OIG Screened Clear 🏢 Entity Type 2 (Organization)

AVITA FAMILY THERAPY AND WELLNESS CENTER, INC. (NPI #1225520885)

Community/Behavioral Health • SAN DIEGO, CA • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1225520885
Type 2 Organization (Box 32a/33a)
HIPAA NUCC Taxonomy • CMS Code
251S00000X
Licensed & Credentialed Community/Behavioral Health
Box 32 Service Location & ZIP+4
9666 BUSINESSPARK AVE STE 207, SAN DIEGO, CA, 92131
Official NPPES Practice Location
Practice Phone & Referral Fax
Fax: (858) 367-8383
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1225520885 (AVITA FAMILY THERAPY AND WELLNESS CENTER, INC.) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1225520885 (NPI-2 Organization / Facility)
Provider / Legal NameAVITA FAMILY THERAPY AND WELLNESS CENTER, INC.
Plain-English SpecialtyLicensed & Credentialed Community/Behavioral Health
NUCC Code: 251S00000X (Community/Behavioral Health)
Certifying / Licensing BodyState Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address9666 BUSINESSPARK AVE STE 207, SAN DIEGO, CA, 92131
Practice Telephone / FaxTel: (858) 367-0525 | Fax: (858) 367-8383
Administrative Mailing AddressPO BOX 2498, DEL MAR, CA, 92014-1798
Enumeration & Last SyncEnumerated: 2018-05-30 | CMS Record Updated: 2018-08-25
Authorized OfficialSARA HIRAD (Director of Therapy Services)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

9666 BUSINESSPARK AVE STE 207, SAN DIEGO, CA, 92131

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Plain-English Taxonomy & CMS Crosswalk (251S00000X)

What Does Taxonomy Code 251S00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 251S00000X translates to:
"Licensed & Credentialed Community/Behavioral Health"

CMS-1500 Medicare Specialty Crosswalk: Standard HIPAA X12N 837P / CMS-1500
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Community/Behavioral Health for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (AVITA FAMILY THERAPY AND WELLNESS CENTER, INC.)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
  • Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
  • Preventive Screening, Patient Counseling & Multidisciplinary Referral
Common Therapeutic Classes:
  • Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
106H00000X — Marriage & Family Therapist
Plain English: Licensed & Credentialed Behavioral Health & Social Service Providers — Marriage and Family Therapist
State: N/A | License: Verified | Primary: Secondary
261QM0801X — Clinic/Center, Mental Health (Including Community Mental Health Center)
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: N/A | License: Verified | Primary: Secondary
261QM0850X — Clinic/Center, Adult Mental Health
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: N/A | License: Verified | Primary: Secondary
261QM0855X — Clinic/Center, Adolescent and Children Mental Health
Plain English: Licensed Outpatient Medical Clinic / Urgent Care & Ambulatory Center
State: N/A | License: Verified | Primary: Secondary
251S00000X — Community/Behavioral Health
Plain English: Licensed & Credentialed Community/Behavioral Health
State: N/A | License: Verified | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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