Mariela Acevedo, MFTI

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

IMF100669 Issued in CA

Practice address

1400 Emeline Ave
Santa Cruz, CA 95060-1976

Phone

(831) 454-4900

Fax

(831) 454-4663

NPI assigned

Sep 1, 2017

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 identifiers 2

Other names 1

• Mariela Acevedo Moreno Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1504224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1356869093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601976",
            "telephone_number": "831-454-4900",
            "fax_number": "831-454-4663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 EMELINE AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950601976",
            "telephone_number": "831-454-4900",
            "fax_number": "831-454-4663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1430 Freedom Blvd",
            "address_purpose": "LOCATION",
            "city": "Watsonville",
            "state": "CA",
            "postal_code": "950762780",
            "country_code": "US",
            "telephone_number": "831-454-4971",
            "fax_number": "831-454-5020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACEVEDO",
        "first_name": "MARIELA",
        "credential": "MFTI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "IMF100669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY GROUP MEDICAL NUMBER",
            "identifier": "FHC70042F",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SANTA CRUZ COUNTY GROUP MEDICAL NUMBER",
            "identifier": "FHC70044F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIELA",
            "last_name": "ACEVEDO MORENO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Marisa Abzug, M.A., LMFT
• Acacia Psychological Corporation (Acacia Counseling & Wellness)
• Ashely Acadan
• Accessible Health Care Central Coast (ACMN,Inc)
• Accuquest Hearing Center, LLC
• Hector Aceves, LVN
• Acmn Inc (Accessible Healthcare of the Central Coast)
• Acmn Inc. (Accessible Home Health Care of the Central Coast)
• Inez Acosta
• Jennifer Acostamadiedo, MD

• Mental Health Counselor in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.