Lori Ayala

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

12737 Issued in CA

Practice address

275 W Hospitality LN Ste 325
San Bernardino, CA 92408-3249

Phone

(951) 708-1049

NPI assigned

Dec 1, 2018

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

Practice roles

Locations

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.

• Divina Family Counseling Services

  • Professional Counselor
  • San Bernardino, CA
  • NPI 1376255752

  Mental Health

  NPD Authorized official
• Jacob Joseph and Jabez Family Counseling and Professional Services Gro

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1558880260

  Mental Health

  NPD (past)
• Step Up on Second Street Inc.

  • Community/Behavioral Health Agency
  • San Bernardino, CA
  • NPI 1285186353
  NPD (past)

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

{
    "created_epoch": "1543622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698796800000",
    "number": "1447720552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 W HOSPITALITY LN STE 110",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 W HOSPITALITY LN STE 325",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083249",
            "telephone_number": "951-708-1049"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Arrowhead Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011164",
            "country_code": "US",
            "telephone_number": "909-963-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AYALA",
        "first_name": "LORI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-01",
        "last_updated": "2023-11-01",
        "certification_date": "2023-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "118946",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "12737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Axelrod
• Axiom Pain Management Inc
• Bryanna Graciela Ayala
• David Ayala
• Ismael Ayala
• Maria Pia Ayala, LCSW
• Micaela Ayala
• Mindy Ayala
• Ayla Corporation
• Azadeh Afzali D.D.S, Inc.

• Professional Counselor in San Bernardino, CA
• Providers in San Bernardino, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2023; 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.