Active NPI
Stacy Arvizu
- Mental Health Counselor
- Orange, CA
National Provider Identifier
1457699233
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF 72768
- Practice address
- 1835 W Orangewood Ave
Suite 104
Orange, CA 92868-2011 - Phone
- (714) 939-7608
- Fax
- (714) 939-7630
- NPI assigned
- Jan 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMF 72768 | CA | Primary |
Addresses
Primary practice location
1835 W Orangewood Ave
Suite 104
Orange, CA 92868-2011
Mailing address
PO Box 460253
Escondido, CA 92046-0253
Phone (562) 216-4762
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 |
|---|---|---|---|
| IMF 72768 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409011200000",
"number": "1457699233",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 460253",
"city": "ESCONDIDO",
"state": "CA",
"postal_code": "920460253",
"telephone_number": "562-216-4762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 W ORANGEWOOD AVE",
"address_2": "SUITE 104",
"city": "ORANGE",
"state": "CA",
"postal_code": "928682011",
"telephone_number": "714-939-7608",
"fax_number": "714-939-7630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARVIZU",
"first_name": "STACY",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-01-29",
"last_updated": "2014-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF 72768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.