Active NPI
Monica Georgina Menjivar
- Mental Health Counselor
- Napa, CA
National Provider Identifier
1114350055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW69581
- Practice address
- 2751 Napa Valley Corporate Dr BLDG a
Napa, CA 94558-6216 - Phone
- (707) 299-1482
- Fax
- (707) 259-8721
- NPI assigned
- Aug 14, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Mental Health Counselor | 101YM0800X | ASW69581 | CA | Primary |
Addresses
Primary practice location
2751 Napa Valley Corporate Dr BLDG a
Napa, CA 94558-6216
Mailing address
2751 Napa Valley Corporate Dr BLDG a
Napa, CA 94558-6216
Phone (707) 299-1482
Other practice location 1
2261 Elm St Bldg A
Napa, CA 94559-3721
Phone (707) 299-1482
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 |
|---|---|---|---|
| ASW69581 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Napa | Past | Accepting new patients | |
| Napa County | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Napa, CA
- NPI 1164572426
-
- Public Health or Welfare Agency
- Napa, CA
- NPI 1467507699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1376438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1114350055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2751 NAPA VALLEY CORPORATE DR BLDG A",
"city": "NAPA",
"state": "CA",
"postal_code": "945586216",
"telephone_number": "707-299-1482",
"fax_number": "707-259-8721"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2751 NAPA VALLEY CORPORATE DR BLDG A",
"city": "NAPA",
"state": "CA",
"postal_code": "945586216",
"telephone_number": "707-299-1482",
"fax_number": "707-259-8721"
}
],
"practiceLocations": [
{
"address_1": "2261 Elm St Bldg A",
"address_purpose": "LOCATION",
"city": "Napa",
"state": "CA",
"postal_code": "945593721",
"country_code": "US",
"telephone_number": "707-299-1482",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENJIVAR",
"first_name": "MONICA",
"middle_name": "GEORGINA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-14",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW69581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.