Raquel Sunny Concha, B.A.,OTS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

A2037914 Issued in CA

Practice address

303 Potrero St
Santa Cruz, CA 95060-2741

Phone

(831) 420-0120

NPI assigned

Jun 30, 2010

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

State licenses

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1174834618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 PINE ST APT C",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950622490",
            "telephone_number": "831-427-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 POTRERO ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950602741",
            "telephone_number": "831-420-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONCHA",
        "first_name": "RAQUEL",
        "middle_name": "SUNNY",
        "name_prefix": "Ms.",
        "credential": "B.A.,OTS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "A2037914",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL",
            "identifier": "44AV",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Camille Colon
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• Community Bridges
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• Megan Tanuhandaru Comparan
• Kathleen M Condon, PSY.D
• Tracy Anne Cone, L.AC.
• Connect Primary Care Santa Cruz
• Donald Paul Connolly I, D.D.S.
• Jordan Console

• Mental Health Counselor in Santa Cruz, CA
• Providers in Santa Cruz, 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 Jun 30, 2010; 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.