Individual provider Active NPI

Edith Contreras

  • Professional Counselor
  • Whittier, CA
National Provider Identifier
1467990804
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2928 Issued in CA
Practice address
10155 Colima Rd
Whittier, CA 90603-2042
Phone
(562) 692-0383
Fax
(562) 692-0380
NPI assigned
Feb 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 2928 CA Primary
Clinical Social Worker 1041C0700X APCC11553 CA

Addresses

Primary practice location

10155 Colima Rd
Whittier, CA 90603-2042

Mailing address

10155 Colima Rd
Whittier, CA 90603-2042
Phone (562) 692-0383

Other practice location 1

940 Avenue 64
Pasadena, CA 91105-2711
Phone (323) 543-2800

Other names 1

  • Edith Medina Former name

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
2928CAMDProfessional Counselor
APCC11553CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1467990804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10155 COLIMA RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032042",
            "telephone_number": "562-692-0383",
            "fax_number": "562-692-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10155 COLIMA RD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906032042",
            "telephone_number": "562-692-0383",
            "fax_number": "562-692-0380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 Avenue 64",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "CA",
            "postal_code": "911052711",
            "country_code": "US",
            "telephone_number": "323-543-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONTRERAS",
        "first_name": "EDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-06",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "2928",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "APCC11553",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDITH",
            "last_name": "MEDINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whittier, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.