Active NPI
Mar Angelica Moreno-Araiza
- Mental Health Counselor
- Long Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ACSW73473
- 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
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 | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| ACSW73473 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friends of Family Health Center | Current | Accepting new patients | |
| Friends of Family Health Center | Current | Accepting new patients | |
| Friends of Family Health Center | Current | 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.
-
- Federally Qualified Health Center (FQHC)
- La Habra, CA
- NPI 1871818138
-
- Federally Qualified Health Center (FQHC)
- Ontario, CA
- NPI 1003546342
-
- Federally Qualified Health Center (FQHC)
- Tustin, CA
- NPI 1922489665
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.