Individual provider Active NPI

Monica Huezo, THERAPIST-LPCC, M.S.

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1225356553
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC#20 Issued in CA
Practice address
5100 Marlborough Dr
Suite #103
San Diego, CA 92116-2020
Phone
(619) 200-4305
NPI assigned
May 11, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC#20 CA Primary

Addresses

Primary practice location

5100 Marlborough Dr
Suite #103
San Diego, CA 92116-2020

Mailing address

PO Box 821
Bonita, CA 91908-0821

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC#20CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1273536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343692800000",
    "number": "1225356553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 821",
            "city": "BONITA",
            "state": "CA",
            "postal_code": "919080821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 MARLBOROUGH DR",
            "address_2": "SUITE #103",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162020",
            "telephone_number": "619-200-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUEZO",
        "first_name": "MONICA",
        "name_prefix": "Miss",
        "credential": "THERAPIST-LPCC, M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-11",
        "last_updated": "2012-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LPC#20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; 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.