Active NPI
Louie Avila
- Mental Health Counselor
- Riverside, CA
National Provider Identifier
1093383705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 102416
- Practice address
- 3576 Arlington Ave
Riverside, CA 92506-3943 - Phone
- (951) 374-1555
- NPI assigned
- Jun 17, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 102416 | CA | |
| Mental Health Counselor | 101YM0800X | 102416 | CA | Primary |
Addresses
Primary practice location
3576 Arlington Ave
Riverside, CA 92506-3943
Mailing address
3576 Arlington Ave
Riverside, CA 92506-3943
Phone (951) 374-1555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102416 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1093383705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3576 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063943",
"telephone_number": "951-374-1555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3576 ARLINGTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063943",
"telephone_number": "951-374-1555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILA",
"first_name": "LOUIE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-06-17",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "102416",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "102416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.