Active NPI
Elizabeth Patricia Arreola
- Professional Counselor
- San Diego, CA
National Provider Identifier
1275875106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- PCCI3276
- Practice address
- 9445 Farnham St
San Diego, CA 92123-1308 - Phone
- (858) 282-1002
- NPI assigned
- Mar 18, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | PCCI3276 | CA | |
| Clinical Social Worker | 1041C0700X | PCCI3276 | CA | |
| Professional Counselor | 101YP2500X | PCCI3276 | CA | Primary |
Addresses
Primary practice location
9445 Farnham St
San Diego, CA 92123-1308
Mailing address
9445 Farnham St
San Diego, CA 92123-1308
Other practice location 1
1012 Main St Ste 101
Ramona, CA 92065-2170
Phone (760) 788-9725
Other practice location 2
1012 Main St Ste 101
Ramona, CA 92065-2170
Phone (760) 788-9725
Other practice location 3
251 Llewellyn Ave
Campbell, CA 95008-1940
Phone (408) 379-3790
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 |
|---|---|---|---|
| PCCI3276 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1275875106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9445 FARNHAM ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9445 FARNHAM ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231308",
"telephone_number": "858-282-1002"
}
],
"practiceLocations": [
{
"address_1": "1012 Main St Ste 101",
"address_purpose": "LOCATION",
"city": "Ramona",
"state": "CA",
"postal_code": "920652170",
"country_code": "US",
"telephone_number": "760-788-9725",
"fax_number": "760-788-9725",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1012 Main St Ste 101",
"address_purpose": "LOCATION",
"city": "Ramona",
"state": "CA",
"postal_code": "920652170",
"country_code": "US",
"telephone_number": "760-788-9725",
"fax_number": "760-788-9725",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "251 Llewellyn Ave",
"address_purpose": "LOCATION",
"city": "Campbell",
"state": "CA",
"postal_code": "950081940",
"country_code": "US",
"telephone_number": "408-379-3790",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARREOLA",
"first_name": "ELIZABETH",
"middle_name": "PATRICIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-18",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "PCCI3276",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "PCCI3276",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "PCCI3276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.