Active NPI
Emily Araiza-Carrazco
- Professional Counselor
- Modesto, CA
National Provider Identifier
1124740147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- ASW124761
- Practice address
- 251 E Hackett Rd
Modesto, CA 95358-9800 - Phone
- (209) 558-2352
- NPI assigned
- Sep 15, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Professional Counselor | 101YP2500X | ASW124761 | CA | Primary |
Addresses
Primary practice location
251 E Hackett Rd
Modesto, CA 95358-9800
Mailing address
800 Scenic Dr
Modesto, CA 95350-6131
Phone (209) 525-6247
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 |
|---|---|---|---|
| ASW124761 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723334400000",
"number": "1124740147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 SCENIC DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953506131",
"telephone_number": "209-525-6247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 E HACKETT RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953589800",
"telephone_number": "209-558-2352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARAIZA-CARRAZCO",
"first_name": "EMILY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-15",
"last_updated": "2024-08-11",
"certification_date": "2024-08-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "ASW124761",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.