Individual provider Active NPI

Alex Marci Urrutia

  • Mental Health Counselor
  • San Diego, CA
National Provider Identifier
1538685003
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
3356 2ND Ave Ste D
San Diego, CA 92103-5636
Phone
(424) 444-1933
NPI assigned
Aug 16, 2017
Last updated
Nov 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

3356 2ND Ave Ste D
San Diego, CA 92103-5636

Mailing address

1226 Dawson Dr
Chula Vista, CA 91911-7023
Phone (424) 444-1933

Other practice location 1

2120 Alpine Blvd
Alpine, CA 91901-2113
Phone (619) 445-2644

Other practice location 2

1226 Dawson Dr
Chula Vista, CA 91911-7023
Phone (424) 444-1933

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

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668988800000",
    "number": "1538685003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 DAWSON DR",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919117023",
            "telephone_number": "424-444-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3356 2ND AVE STE D",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035636",
            "telephone_number": "424-444-1933"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2120 Alpine Blvd",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "CA",
            "postal_code": "919012113",
            "country_code": "US",
            "telephone_number": "619-445-2644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1226 Dawson Dr",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919117023",
            "country_code": "US",
            "telephone_number": "424-444-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "URRUTIA",
        "first_name": "ALEX",
        "middle_name": "MARCI",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 21, 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.