Active NPI
Stephanie Ariana Acevedo-Moran, LMFT, LAADC,BCBA
- Marriage & Family Therapist
- Los Alamitos, CA
National Provider Identifier
1013330620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 98990
- Practice address
- 5212 Katella Ave Ste 103B
Los Alamitos, CA 90720-6828 - Phone
- (714) 743-0704
- NPI assigned
- Feb 3, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LR05740121 | CA | |
| Behavior Analyst | 103K00000X | 1-14-10236 | CA | |
| Marriage & Family Therapist | 106H00000X | 98990 | CA | Primary |
Addresses
Primary practice location
5212 Katella Ave Ste 103B
Los Alamitos, CA 90720-6828
Mailing address
10332 Florence Ave
Buena Park, CA 90620-4425
Phone (714) 743-0704
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240522003716 | CA | Practitioner - Marriage and Family Therapist | 0941642995 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LR05740121 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Glenn Medical Center, LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Critical Access Hospital
- Willows, CA
- NPI 1619929759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736208000000",
"number": "1013330620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10332 FLORENCE AVE",
"city": "BUENA PARK",
"state": "CA",
"postal_code": "906204425",
"telephone_number": "714-743-0704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5212 KATELLA AVE STE 103B",
"city": "LOS ALAMITOS",
"state": "CA",
"postal_code": "907206828",
"telephone_number": "714-743-0704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACEVEDO-MORAN",
"first_name": "STEPHANIE",
"middle_name": "ARIANA",
"name_prefix": "Miss",
"credential": "LMFT, LAADC,BCBA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-02-03",
"last_updated": "2025-01-07",
"certification_date": "2025-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LR05740121",
"primary": false
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "CA",
"license": "1-14-10236",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "98990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Alamitos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.