Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Captive Hearts

Organization Addiction (Substance Use Disorder) Counselor · NPI 1457975351

Captive Hearts is an Addiction (Substance Use Disorder) Counselor in Grover Beach, California. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
6
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Practice location Address checks out

882 W Grand Ave
Grover Beach, CA 93433-2134
Phone: (805) 481-4500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X
Mental Health Counselor Taxonomy 101YM0800X
Pastoral Counselor Taxonomy 101YP1600X
Professional Counselor Taxonomy 101YP2500X
Rehabilitation Psychologist Taxonomy 103TR0400X
Driver Taxonomy 172A00000X

Record details

NPI number1457975351
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Elissa Goodenough — Board Member/ Employee · (805) 602-8751
NPI enumeratedJune 5, 2020
Last updated in NPPESJune 17, 2020
Certification dateJune 17, 2020
Mailing address882 W Grand Ave, Grover Beach, CA 93433-2134

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