Selene Tlaxcala, M.S.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF 38861 Issued in CA

Practice address

6301 Beach Blvd
#245
Buena Park, CA 90621-2840

Phone

(714) 736-0231

Fax

(714) 736-0895

NPI assigned

Jan 3, 2007

Last updated

Jul 8, 2007By 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 1

Addresses

Other names 1

• Ms. Selene Tlaxcala-Cabrera Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Child Guidance Center, Inc.

  • Community/Behavioral Health Agency
  • Buena Park, CA
  • NPI 1740300128
  NPD (past)

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265599468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 DEERPARK DR",
            "address_2": "APT. #205",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928311589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 BEACH BLVD",
            "address_2": "#245",
            "city": "BUENA PARK",
            "state": "CA",
            "postal_code": "906212840",
            "telephone_number": "714-736-0231",
            "fax_number": "714-736-0895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TLAXCALA",
        "first_name": "SELENE",
        "name_prefix": "Ms.",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF 38861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SELENE",
            "last_name": "TLAXCALA-CABRERA",
            "prefix": "MS.",
            "credential": "M.S.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Joel Aaron Topete
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• Marriage & Family Therapist in Buena Park, CA
• Providers in Buena Park, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.