Neveen Mobarak Wissa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

134118 Issued in CA

Practice address

172 N Rock River Dr
Diamond Bar, CA 91765-1262

Phone

(213) 441-6780

NPI assigned

Jun 27, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1417633918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 N ROCK RIVER DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651262",
            "telephone_number": "909-610-0523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 N ROCK RIVER DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651262",
            "telephone_number": "213-441-6780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISSA",
        "first_name": "NEVEEN",
        "middle_name": "MOBARAK",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-27",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "134118",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT149849",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Woori Clinic Inc
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• Alison Wu

• Mental Health Counselor in Diamond Bar, CA
• Providers in Diamond Bar, 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 Nov 24, 2024; 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.