Individual provider Active NPI

Joanna Gayle Sarinas

  • Mental Health Counselor
  • North Hills, CA
National Provider Identifier
1104295922
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
15305 Rayen St
North Hills, CA 91343
Phone
(818) 892-3423
Fax
(818) 893-4509
NPI assigned
Sep 22, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

15305 Rayen St
North Hills, CA 91343

Mailing address

15305 Rayen St
North Hills, CA 91343-5117
Phone (818) 892-3423

Other practice location 1

2610 Industry Way Ste A
Lynwood, CA 90262-4028
Phone (310) 631-8004

Other practice location 2

2550 E Foothill Blvd
1st floor
Pasadena, CA 91107-3406
Phone (626) 463-1021 ext. 150

Other practice location 3

15305 Rayen St
North Hills, CA 91343
Phone (818) 892-3423

Other identifiers 1

IdentifierTypeStateIssuer
95-2633765MedicaidCA

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

NPI Registry JSON

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1104295922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15305 RAYEN ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "913435117",
            "telephone_number": "818-892-3423",
            "fax_number": "818-893-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15305 RAYEN ST",
            "city": "NORTH HILLS",
            "state": "CA",
            "postal_code": "91343",
            "telephone_number": "818-892-3423",
            "fax_number": "818-893-4509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2610 Industry Way Ste A",
            "address_purpose": "LOCATION",
            "city": "Lynwood",
            "state": "CA",
            "postal_code": "902624028",
            "country_code": "US",
            "telephone_number": "310-631-8004",
            "fax_number": "310-631-5875",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2550 E Foothill Blvd",
            "address_2": "1st floor",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911073406",
            "country_code": "US",
            "telephone_number": "626-463-1021 x150",
            "fax_number": "626-463-1021",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15305 Rayen St",
            "address_purpose": "LOCATION",
            "city": "North Hills",
            "state": "CA",
            "postal_code": "91343",
            "country_code": "US",
            "telephone_number": "818-892-3423",
            "fax_number": "818-893-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARINAS",
        "first_name": "JOANNA",
        "middle_name": "GAYLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "95-2633765",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.