Genesis Aguilera, CATC III
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Covina, CA
NPI 1265218259 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1265218259
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 24106 (CA)
- Practice address
- 510 S 2ND Ave
Covina, CA 91723-3017 - Phone
- (626) 974-8123
- Fax
- (626) 974-8198
- NPI assigned
- Sep 5, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24106 | CA | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 24106 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 24106 | CA | Yes |
Addresses
Primary practice location
510 S 2ND Ave
Covina, CA 91723-3017
Mailing address
510 S 2ND Ave
Covina, CA 91723-3017
Phone (626) 974-8123
Other providers in Covina, CA
- Asdril Yenifer Aguilar Lopez
- Emely Aguilar
- Jackeline Aguilar
- Margarita Aguilar
- Raymond Solis Aguilar
- Mercedes Aguilera
- Arianna Agunwani
- Kofi Agyeman
- Ahmad Hussain MD Inc.
- Sheraz Ahmad
All providers in Covina, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.