Active NPI
Hailey Helen Arellano
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1407364292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 130578
- Practice address
- 4164 Brockton Ave
Riverside, CA 92501-3400 - Phone
- (951) 683-9153
- NPI assigned
- Jan 16, 2018
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 6523 | CA | |
| Marriage & Family Therapist | 106H00000X | 114020 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Marriage & Family Therapist | 106H00000X | 130578 | CA | Primary |
Addresses
Primary practice location
4164 Brockton Ave
Riverside, CA 92501-3400
Mailing address
941 W Clifton Ave
Redlands, CA 92373-5876
Phone (909) 289-8171
Other practice location 1
3576 Arlington Ave Ste 100
Riverside, CA 92506-3907
Phone (951) 374-1555
Other practice location 2
6630 Avenida Valencia
Riverside, CA 92509-5625
Phone (951) 784-2170
Other practice location 3
3125 Myers St
Riverside, CA 92503-5527
Phone (951) 358-6220 ext. 83594
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 |
|---|---|---|---|
| 6523 | CA | MD | Professional Counselor |
| 130578 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1407364292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "941 W CLIFTON AVE",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735876",
"telephone_number": "909-289-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4164 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013400",
"telephone_number": "951-683-9153"
}
],
"practiceLocations": [
{
"address_1": "3576 Arlington Ave Ste 100",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925063907",
"country_code": "US",
"telephone_number": "951-374-1555",
"fax_number": "951-394-7426",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6630 Avenida Valencia",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925095625",
"country_code": "US",
"telephone_number": "951-784-2170",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3125 Myers St",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925035527",
"country_code": "US",
"telephone_number": "951-358-6220 x83594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARELLANO",
"first_name": "HAILEY",
"middle_name": "HELEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-01-16",
"last_updated": "2022-01-18",
"certification_date": "2022-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "6523",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "114020",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "130578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.