Individual provider Active NPI

Clara E Robles-Guerrero, LMFT

  • Marriage & Family Therapist
  • San Diego, CA
National Provider Identifier
1477968857
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
110895 Issued in CA
Practice address
8755 Aero Dr Ste 306
San Diego, CA 92123-1764
Phone
(858) 634-1100
Fax
(858) 634-1101
NPI assigned
Jun 24, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Marriage & Family Therapist 106H00000X 110895 CA Primary

Addresses

Primary practice location

8755 Aero Dr Ste 306
San Diego, CA 92123-1764

Mailing address

267 Rancho CT
Unit D
Chula Vista, CA 91911-6528

Other practice location 1

1465 30th St
Suite K
San Diego, CA 92154-3497
Phone (619) 428-1000

Other practice location 2

9666 Businesspark Ave
Ste 207
San Diego, CA 92131-1646
Phone (858) 367-0525

Other names 1

  • Clara E Robles-Guerrero Other 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

Practice roles

OrganizationSpecialtyStatusNew patients
Avita Family Therapy and Wellness Center, Inc. Marriage & Family Therapist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1477968857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "267 RANCHO CT",
            "address_2": "UNIT D",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919116528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8755 AERO DR STE 306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231764",
            "telephone_number": "858-634-1100",
            "fax_number": "858-634-1101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1465 30th St",
            "address_2": "Suite K",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921543497",
            "country_code": "US",
            "telephone_number": "619-428-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9666 Businesspark Ave",
            "address_2": "Ste 207",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921311646",
            "country_code": "US",
            "telephone_number": "858-367-0525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBLES-GUERRERO",
        "first_name": "CLARA",
        "middle_name": "E",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-24",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "110895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CLARA",
            "last_name": "ROBLES-GUERRERO",
            "middle_name": "E",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.