Active NPI
Michelle Parrella, LCSW
- Mental Health Counselor
- Santa Monica, CA
National Provider Identifier
1124782107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 27619
- Practice address
- 2847 Delaware Ave
Santa Monica, CA 90404-5012 - Phone
- (562) 276-3026
- NPI assigned
- Oct 26, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 27619 | CA | Primary |
Addresses
Primary practice location
2847 Delaware Ave
Santa Monica, CA 90404-5012
Mailing address
PO Box 64211
Los Angeles, CA 90064-0211
Phone (605) 549-5279
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 13, 2023 through Nov 13, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27619 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635206400000",
"number": "1124782107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64211",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900640211",
"telephone_number": "605-549-5279"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2847 DELAWARE AVE",
"city": "SANTA MONICA",
"state": "CA",
"postal_code": "904045012",
"telephone_number": "562-276-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARRELLA",
"first_name": "MICHELLE",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-26",
"last_updated": "2021-10-26",
"certification_date": "2021-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "27619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Monica, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.