Active NPI
Aurelia Benavidez
- Addiction (Substance Use Disorder) Counselor
- Rancho Mirage, CA
National Provider Identifier
1225734528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1497140223
- Practice address
- 69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873 - Phone
- (760) 322-1777
- Fax
- (760) 778-6122
- NPI assigned
- Feb 7, 2023
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1497140223 | CA | Primary |
Addresses
Primary practice location
69730 Highway 111 Ste 109
Rancho Mirage, CA 92270-2873
Mailing address
53551 Cesar Chavez St Apt 127
Coachella, CA 92236-1587
Phone (760) 393-7262
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1497140223 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691452800000",
"number": "1225734528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "53551 CESAR CHAVEZ ST APT 127",
"city": "COACHELLA",
"state": "CA",
"postal_code": "922361587",
"telephone_number": "760-393-7262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69730 HIGHWAY 111 STE 109",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922702873",
"telephone_number": "760-322-1777",
"fax_number": "760-778-6122"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BENAVIDEZ",
"first_name": "AURELIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-07",
"last_updated": "2023-08-08",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1497140223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 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.