Active NPI
Maribel R Luna, LMFT
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1245754639
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 93665
- Practice address
- 6386 Alvarado CT Ste 210
San Diego, CA 92120-4907 - Phone
- (619) 962-4172
- NPI assigned
- Jul 27, 2017
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 93665 | CA | Primary |
Addresses
Primary practice location
6386 Alvarado CT Ste 210
San Diego, CA 92120-4907
Mailing address
1430 Petree St Apt 526
El Cajon, CA 92020-2367
Phone (619) 962-4172
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 |
|---|---|---|---|
| 93665 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1501113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1501113600000",
"number": "1245754639",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 PETREE ST APT 526",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920202367",
"telephone_number": "619-962-4172"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6386 ALVARADO CT STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921204907",
"telephone_number": "619-962-4172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNA",
"first_name": "MARIBEL",
"middle_name": "R",
"credential": "LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-07-27",
"last_updated": "2017-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "93665",
"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 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.