Alyson Pena, LPCC #4250

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

4250 Issued in CA

Practice address

5000 Birch St Ste 1400
Newport Beach, CA 92660-2150

Phone

(949) 374-2323

NPI assigned

Jan 23, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Change Academy at Lake of the Ozarks

  dba Embark Behavioral Health

  • Community/Behavioral Health Agency
  • Newport Beach, CA
  • NPI 1811601784
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1164845319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "583 N PAGEANT DR UNIT A",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928697601",
            "telephone_number": "949-374-2323",
            "fax_number": "714-289-3938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BIRCH ST STE 1400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602150",
            "telephone_number": "949-374-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENA",
        "first_name": "ALYSON",
        "credential": "LPCC #4250",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-23",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "4250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Pegler, OT
• Piotr Pelc, D.O.
• Paige Pelligra
• Edward Pellis, DDS
• Ronald Howard Peltz, DPM
• Daniel Penagos
• Alejandra Penaloza
• Jeffrey Richard Pene, D.D.S., M.S.D.
• Lei Peng, PH.D., O.M.D.
• Ronald Lynn Pennington, M.D.

• Mental Health Counselor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.