Active NPI
Stephanie Rosales
- Counselor
- Riverside, CA
National Provider Identifier
1194218370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 6700 Indiana Ave
Riverside, CA 92506-4290 - Phone
- (951) 367-0560
- NPI assigned
- Jun 12, 2018
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
6700 Indiana Ave
Riverside, CA 92506-4290
Mailing address
6700 Indiana Ave
Riverside, CA 92506-4290
Phone (951) 367-0560
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1194218370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6700 INDIANA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064290",
"telephone_number": "951-367-0560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6700 INDIANA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925064290",
"telephone_number": "951-367-0560"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSALES",
"first_name": "STEPHANIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.