Guadalupe Macias Mariscal, PEER SUPPORT SPECIAL

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

44199 Monroe St
Indio, CA 92201-3096

Phone

(760) 863-8424

Fax

(760) 770-2240

NPI assigned

Dec 7, 2022

Last updated

Oct 19, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1670371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1245941624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44199 MONROE ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013096",
            "telephone_number": "760-863-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44199 MONROE ST",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922013096",
            "telephone_number": "760-863-8424",
            "fax_number": "760-770-2240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARISCAL",
        "first_name": "GUADALUPE",
        "middle_name": "MACIAS",
        "credential": "PEER SUPPORT SPECIAL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-07",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "diva_in_ink@yahoo.com",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "personal email",
            "address_1": "44199 Monroe St",
            "city": "Indio",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922013096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "g.mariscal@ruhealth.org",
            "affiliation": "N",
            "endpointDescription": "g.mariscal@ruhealth.org",
            "address_1": "44199 Monroe St",
            "city": "Indio",
            "state": "CA",
            "country_code": "US",
            "postal_code": "922013096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "g.mariscal@ruhealth.org",
            "affiliation": "N",
            "endpointDescription": "g.mariscal@ruhealth.org",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "23119 Cottonwood Ave Ste 100",
            "city": "Moreno Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "925539661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Peer Specialist in Indio, CA
• Providers in Indio, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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.