Individual provider Active NPI

Elva Gutierrez

  • Addiction (Substance Use Disorder) Counselor
  • Long Beach, CA
National Provider Identifier
1275302747
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1511630623 Issued in CA
Practice address
341 E 6TH St
Long Beach, CA 90802-1402
Phone
(562) 435-7350
NPI assigned
Dec 26, 2023
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R1511630623 CA Primary

Addresses

Primary practice location

341 E 6TH St
Long Beach, CA 90802-1402

Mailing address

341 E 6TH St
Long Beach, CA 90802-1402
Phone (323) 424-5153

Other practice location 1

615 Elm Ave
Long Beach, CA 90802-1406
Phone (562) 435-7350

Other practice location 2

351 E 6th St
Long Beach, CA 90802-1402
Phone (562) 435-7350

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

LicenseStateTypeSpecialty
R1511630623CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Behavioral Health Services, Inc. PastSince Dec 31, 2023 Accepting new patients
Behavioral Health Services, Inc. Past Accepting new patients
Behavioral Health Services, Inc. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703548800000",
    "number": "1275302747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E 6TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021402",
            "telephone_number": "323-424-5153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E 6TH ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908021402",
            "telephone_number": "562-435-7350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "615 Elm Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021406",
            "country_code": "US",
            "telephone_number": "562-435-7350",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 E 6th St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908021402",
            "country_code": "US",
            "telephone_number": "562-435-7350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUTIERREZ",
        "first_name": "ELVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2023-12-26",
        "certification_date": "2023-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1511630623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.