Active NPI
Beliza Perdomo, LMFT
- Mental Health Counselor
- Grover Beach, CA
National Provider Identifier
1265854368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LMFT101761
- Practice address
- 150 S 6TH St Ste C1
Grover Beach, CA 93433-2057 - Phone
- (805) 544-0815
- Fax
- (805) 476-1409
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 | LMFT101761 | CA | Primary |
Addresses
Primary practice location
150 S 6TH St Ste C1
Grover Beach, CA 93433-2057
Mailing address
570 Diana PL
Arroyo Grande, CA 93420-4103
Phone (818) 312-6732
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7184 | Other | CA | MEDI-CAL |
| 7667 | Other | CA | MEDI-CAL |
| 7708 | Other | CA | MEDI-CAL |
| 7368 | Other | CA | MEDI-CAL |
Other names 1
- Beliza Ridenour
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 |
|---|---|---|---|
| LMFT101761 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1265854368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "570 DIANA PL",
"city": "ARROYO GRANDE",
"state": "CA",
"postal_code": "934204103",
"telephone_number": "818-312-6732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S 6TH ST STE C1",
"city": "GROVER BEACH",
"state": "CA",
"postal_code": "934332057",
"telephone_number": "805-544-0815",
"fax_number": "805-476-1409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERDOMO",
"first_name": "BELIZA",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "LMFT101761",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7184",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7667",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7708",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "7368",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BELIZA",
"last_name": "RIDENOUR",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Grover Beach, CA
- Pacific Oaks Psychology Services, a Professional Corporation (Pacific Oaks Psychology Services)
- Marie Antoinette Palumbo, LMFT
- Kristina A Paramore, LMFT
- Shelley Paton, M.S. OTR/L
- James Holm Pearce, MFT
- Daniela Perez, DDS
- Destiny Perez
- Raul D Perez, DDS
- Jamie Peterson, RN
- Kathryn M Phelan, DOCTOR OF CHIROPRACT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.