Carissa Nicole Mendez-Munder, ACSW

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

116176 Issued in CA

Practice address

421 N Brookhurst St Ste 119
Anaheim, CA 92801-5618

Phone

(714) 831-0235

NPI assigned

Jul 21, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1689897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1205516481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27050 BIG HORN MOUNTAIN WAY",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928874210",
            "telephone_number": "562-396-2567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 N BROOKHURST ST STE 119",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928015618",
            "telephone_number": "714-831-0235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-MUNDER",
        "first_name": "CARISSA",
        "middle_name": "NICOLE",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-21",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "116176",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "116176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACSW",
            "identifier": "116176",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Menard
• Stephanie Yanira Menbreno
• Michaela Mencer
• Arlena K. Menda, MD
• Dayahni Dawn Marie Mendes
• Adriana Mendez
• Ana C Mendez
• Edgar Mendez
• Erica Mendez
• Isabel Flores Mendez, COTA

• Mental Health Counselor in Anaheim, CA
• Providers in Anaheim, 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 Jul 21, 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.