Individual provider Active NPI

Marisela Hernandez, MSW 89932

  • Mental Health Counselor
  • Long Beach, CA
National Provider Identifier
1285974527
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW89932 Issued in CA
Practice address
850 E Wardlow Rd
Long Beach, CA 90807-4628
Phone
(562) 981-9392
NPI assigned
Feb 24, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Mental Health Counselor 101YM0800X 89932 CA
Mental Health Counselor 101YM0800X CA
Mental Health Counselor 101YM0800X ASW89932 CA Primary

Addresses

Primary practice location

850 E Wardlow Rd
Long Beach, CA 90807-4628

Mailing address

850 E Wardlow Rd
Long Beach, CA 90807-4628
Phone (562) 981-9392

Other practice location 1

901 W Victoria St Ste F&g
Compton, CA 90220-5807
Phone (310) 669-9510 ext. 2822

Other practice location 2

161 W Victoria St
Long Beach, CA 90805-2175
Phone (323) 242-5000

Other names 1

  • Marisela Avalos Former name

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
89932CAMDMental Health Counselor
ASW89932CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1361664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611705600000",
    "number": "1285974527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074628",
            "telephone_number": "562-981-9392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908074628",
            "telephone_number": "562-981-9392"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 W Victoria St Ste F&g",
            "address_purpose": "LOCATION",
            "city": "Compton",
            "state": "CA",
            "postal_code": "902205807",
            "country_code": "US",
            "telephone_number": "310-669-9510 x2822",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 W Victoria St",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908052175",
            "country_code": "US",
            "telephone_number": "323-242-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNANDEZ",
        "first_name": "MARISELA",
        "name_prefix": "Mrs.",
        "credential": "MSW 89932",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-02-24",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "89932",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW89932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARISELA",
            "last_name": "AVALOS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Jan 27, 2021; 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.