Shaliss Padilla, BS, MA, MFT

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

440 S Melrose Dr Ste 200
Vista, CA 92081-6666

Phone

(833) 444-6463

NPI assigned

Sep 28, 2009

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science, Master of Arts

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.

• Mindbodyology Family Therapy Inc

  dba Mindbodyology

  • Health Service Clinic/Center
  • Vista, CA
  • NPI 1073077111
  NPD Authorized official

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

{
    "created_epoch": "1254096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1457685141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N MAIN ST",
            "address_2": "STE. 500",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013640",
            "telephone_number": "714-834-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 S MELROSE DR STE 200",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816666",
            "telephone_number": "833-444-6463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADILLA",
        "first_name": "SHALISS",
        "name_prefix": "Mrs.",
        "credential": "BS, MA, MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-28",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pacific View OB-GYN Medical Group Inc (North County Women's Specialists)
• Pacifica East Lake LLC (Rancho Vista Senior Living)
• Pacifica Regency Palms LLC (Alta Vista Senior Living)
• Krista Paddock
• Maritza Adriana Padilla
• Cristina Padron, LVN
• Delia Noemi Pallaziol, M.D.
• Palomar Family Counseling
• Palomar Family Counseling Service, Inc.
• Palomar Family Counseling Service, Inc.

• Mental Health Counselor in Vista, CA
• Providers in Vista, 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 Mar 24, 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.