Active NPI
Elena Leyva
- Professional Counselor
- Upland, CA
National Provider Identifier
1356877633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 3953
- Practice address
- 222 N Mountain Ave
110-B
Upland, CA 91786-5714 - Phone
- (909) 920-0379
- NPI assigned
- May 5, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 3953 | CA | Primary |
Addresses
Primary practice location
222 N Mountain Ave
110-B
Upland, CA 91786-5714
Mailing address
2390 E Orangewood Ave Ste 300
Anaheim, CA 92806-6138
Phone (714) 543-4333
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 |
|---|---|---|---|
| 3953 | CA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heavenstone Counseling: License Professional Clinical Counselor, Inc. | Current | Accepting new patients | |
| The Priority Center Ending the Generational Cycle of Trauma Inc | Past | Accepting new patients |
Locations
1490 N Claremont Blvd
Ste 204
Claremont, CA 91711
Phone (714) 296-0356
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Claremont, CA
- NPI 1750081840
-
- Mental Health Counselor
- Santa Ana, CA
- NPI 1356474878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555372800000",
"number": "1356877633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2390 E ORANGEWOOD AVE STE 300",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928066138",
"telephone_number": "714-543-4333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N MOUNTAIN AVE",
"address_2": "110-B",
"city": "UPLAND",
"state": "CA",
"postal_code": "917865714",
"telephone_number": "909-920-0379"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEYVA",
"first_name": "ELENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-05",
"last_updated": "2019-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "3953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.