Individual provider Active NPI

Maria Elena Guzman Ayala, SUDRC-18013

  • Addiction (Substance Use Disorder) Counselor
  • Huntington Beach, CA
National Provider Identifier
1093417362
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
SUDRC-18013 Issued in CA
Practice address
17822 Beach Blvd Ste 278
Huntington Beach, CA 92647-7180
Phone
(714) 375-3795
Fax
(714) 375-3796
NPI assigned
Mar 20, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X SUDRC-18013 CA Primary

Addresses

Primary practice location

17822 Beach Blvd Ste 278
Huntington Beach, CA 92647-7180

Mailing address

17822 Beach Blvd Ste 278
Huntington Beach, CA 92647-7180
Phone (714) 375-3795

Other practice location 1

341 E 6th St
Long Beach, CA 90802-1402
Phone (562) 435-7350

Other practice location 2

351 E 6th St
Long Beach, CA 90802-1402
Phone (562) 435-7350

Other practice location 3

615 Elm Ave
Long Beach, CA 90802-1406
Phone (562) 435-7350

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

LicenseStateTypeSpecialty
SUDRC-18013CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services, Inc. Past Accepting new patients
Behavioral Health Services, Inc. PastSince Mar 1, 2023 Accepting new patients
Behavioral Health Services, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1093417362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 278",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477180",
            "telephone_number": "714-375-3795",
            "fax_number": "714-375-3796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17822 BEACH BLVD STE 278",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926477180",
            "telephone_number": "714-375-3795",
            "fax_number": "714-375-3796"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "341 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021402",
            "country_code": "US",
            "telephone_number": "562-435-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021402",
            "country_code": "US",
            "telephone_number": "562-435-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "615 Elm Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021406",
            "country_code": "US",
            "telephone_number": "562-435-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN AYALA",
        "first_name": "MARIA",
        "middle_name": "ELENA",
        "credential": "SUDRC-18013",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-20",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "SUDRC-18013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.

Verify at the official NPI Registry.