Active NPI
Kenia Lizethe Gutierrez Avelino, M.A.
- Professional Counselor
- Long Beach, CA
National Provider Identifier
1215602016
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 20419
- Practice address
- 4565 California Ave
Long Beach, CA 90807-1507 - Phone
- (565) 422-8472
- NPI assigned
- Aug 12, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 20419 | CA | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | 10229 | CA |
Addresses
Primary practice location
4565 California Ave
Long Beach, CA 90807-1507
Mailing address
1735 N Willow Woods Dr Unit D
Anaheim, CA 92807-1457
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
80 Pine St Florr
21St
New York, NY 10005-1700
PO Box
Suite 7067
Stockton, CA 95267
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10229 | CA | MD | Professional Counselor |
| 20419 | CA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| An Elegant Sufficiency, a Psychological Corporation | Current | Accepting new patients |
Locations
2431 W March Ln
Ste 200
Stockton, CA 95207
Phone (209) 200-8305
Organizations & group practices 1
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.
-
- Clinical Psychologist
- Stockton, CA
- NPI 1427655810
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761868800000",
"number": "1215602016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1735 N WILLOW WOODS DR UNIT D",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928071457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4565 CALIFORNIA AVE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908071507",
"telephone_number": "565-422-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTIERREZ AVELINO",
"first_name": "KENIA",
"middle_name": "LIZETHE",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-12",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "20419",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "10229",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.