Individual provider Active NPI

Hailey Helen Arellano

  • Marriage & Family Therapist
  • Riverside, CA
National Provider Identifier
1407364292
Registry record updated Jan 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
130578 Issued in CA
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

Updated by the provider on Jan 18, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
6523CAMDProfessional Counselor
130578CAMDMarriage & 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.

Verify at the official NPI Registry.