Eunice Dolores Fuentes

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Practice address

4623 Lennox Blvd
Inglewood, CA 90304-2215

Phone

(310) 850-4623

NPI assigned

Jun 4, 2019

Last updated

Dec 15, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eunice.fuentes.p1@direct.scfhc.nextgenshare.com

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.

• Cyti Health PC

  dba Cyti Psychological

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • San Diego, CA
  • NPI 1679172290
  Medicare reassignment NPD
• Lumen Health and Psychological Services Inc.

  • Clinical Psychologist
  • Citrus Heights, CA
  • NPI 1366978843
  Medicare reassignment NPD
• Eunice Counseling Services

  • Community/Behavioral Health Agency
  • Inglewood, CA
  • NPI 1184540080
  NPD (past) Authorized official
• The Los Angeles Free Clinic

  • Federally Qualified Health Center (FQHC)
  • Los Angeles, CA
  • NPI 1497639231
  NPD (past)
• Westmont Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Los Angeles, CA
  • NPI 1477077832
  NPD (past)

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1366000226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4623 LENNOX BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903042215",
            "telephone_number": "310-850-4623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4623 LENNOX BLVD",
            "city": "INGLEWOOD",
            "state": "CA",
            "postal_code": "903042215",
            "telephone_number": "310-850-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "EUNICE",
        "middle_name": "DOLORES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Frieden
• Modena Frye-Patch
• Gynaa Fryer, LVN
• Susan Fu
• Fubos Imaging, Inc. (Imperial Diagnostic)
• Magdalena Fuentes
• Yoana B Fuller Luna, DDS
• Functional Restoration Medical Center, Inc, (Lnglewood Open MRI)
• Pamela D Funderburk
• Daniel E Furst, MD

• Professional Counselor in Inglewood, CA
• Providers in Inglewood, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.