Gina Monique Banuelos, RRW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

3339 Issued in CA

Practice address

950 N State St
Suite D
Hemet, CA 92543-1485

Phone

(951) 652-3560

Fax

(951) 929-2780

NPI assigned

Aug 28, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Sun Ray Addictions Counseling & Ed

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Hemet, CA
  • NPI 1508297276
  NPD (past)
• Sun Ray Addictions Counseling & Education, Inc.

  • Addiction (Substance Use Disorder) Counselor
  • Hemet, CA
  • NPI 1932331576
  NPD (past)

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

{
    "created_epoch": "1409184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409184000000",
    "number": "1205236015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 N STATE ST",
            "address_2": "SUITE D",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431485",
            "telephone_number": "951-652-3560",
            "fax_number": "951-929-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 N STATE ST",
            "address_2": "SUITE D",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431485",
            "telephone_number": "951-652-3560",
            "fax_number": "951-929-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANUELOS",
        "first_name": "GINA",
        "middle_name": "MONIQUE",
        "credential": "RRW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-28",
        "last_updated": "2014-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "3339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333901",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "333903",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody A Balboa
• Melaine Nicole Balboa
• Seth Ballester
• Laurie Banks-Raskey, LMFT
• Jamila Joelle Banks, LMFT
• Elizabeth Barcenas
• Deborah Sue Barela, AMFT
• Hernan E Barenboim, PHD, LMFT
• Bret Alan Barnes, DC
• Sandra Barrera

• Addiction (Substance Use Disorder) Counselor in Hemet, CA
• Providers in Hemet, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2014; 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.