Active NPI
Regina Marie Mendoza
- Mental Health Counselor
- Santa Cruz, CA
National Provider Identifier
1023234499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 303 Potrero St Ste 42-103
Santa Cruz, CA 95060-2779 - Phone
- (831) 420-0120
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
303 Potrero St Ste 42-103
Santa Cruz, CA 95060-2779
Mailing address
1255 38TH Ave SPC 6
Santa Cruz, CA 95062-3250
Phone (831) 464-3401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 44AV | Other | CA | MEDI-CAL PRV NBR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Front St Inc | 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.
-
- Case Management Agency
- Santa Cruz, CA
- NPI 1982823043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211241600000",
"number": "1023234499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 38TH AVE SPC 6",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950623250",
"telephone_number": "831-464-3401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 POTRERO ST STE 42-103",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602779",
"telephone_number": "831-420-0120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "REGINA",
"middle_name": "MARIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2008-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL PRV NBR",
"identifier": "44AV",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.