Individual provider Active NPI

Mar Angelica Moreno-Araiza

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1144669003
Registry record updated Jul 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ACSW73473 Issued in CA
Practice address
850 E Wardlow Rd
Long Beach, CA 90807
Phone
(562) 981-6362
Fax
(562) 981-2622
NPI assigned
Jun 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ACSW73473 CA Primary

Addresses

Primary practice location

850 E Wardlow Rd
Long Beach, CA 90807

Mailing address

850 E Wardlow Rd
Long Beach, CA 90807-4628
Phone (562) 981-6362

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251105004569 CA Practitioner - Clinical Social Worker 0941790299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

501 S Idaho St
Suite 250
La Habra, CA 90631-6594

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ACSW73473CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Friends of Family Health Center Current Accepting new patients
Friends of Family Health Center CurrentSince Oct 23, 2025 Accepting new patients
Friends of Family Health Center CurrentSince Oct 23, 2025 Accepting new patients

Locations

501 S Idaho St
Ste 250
La Habra, CA 90631
Phone (562) 501-1750

501 S Idaho St
Ste 100
La Habra, CA 90631
Phone (562) 690-0400

13152 Newport Ave
Tustin, CA 92780
Phone (714) 442-4864

13152 Newport Ave
Ste B
Tustin, CA 92780
Phone (714) 263-8600

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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530489600000",
    "number": "1144669003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074628",
            "telephone_number": "562-981-6362",
            "fax_number": "562-981-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "90807",
            "telephone_number": "562-981-6362",
            "fax_number": "562-981-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORENO-ARAIZA",
        "first_name": "MAR",
        "middle_name": "ANGELICA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2018-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ACSW73473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.