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Coastal Mountain Youth Academy

Mental Health Counselor in San Juan Capistrano, CA · enumerated 2012 · authorized official Kelley White, Executive Program Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1801156831

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Registry record

Entity type Organization (Type 2)
Legal business name Coastal Mountain Youth Academy
Practice address 33171 Paseo Cerveza, Suite 120, San Juan Capistrano, CA, 92675
Phone (949) 498-7042
Fax (949) 248-2870
Enumeration date May 23, 2012
Last updated in NPPES May 23, 2012

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary
101YS0200X School Counselor Behavioral Health & Social Service Providers Secondary
106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary

Authorized official

Name Kelley White
Title Executive Program Director
Phone (949) 498-7042

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Coastal Mountain Youth Academy?
NPPES lists Kelley White (Executive Program Director) as the authorized official for this organization.
What is the NPI number for Coastal Mountain Youth Academy?
The NPI for Coastal Mountain Youth Academy is 1801156831, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2012-05-23.