Mariposa Therapy, Licensed Clinical Social Worker, a Professional Corp

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MARIPOSA THERAPY, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORP

Practice address

473 S Carnegie Dr Ste 200
San Bernardino, CA 92408-4201

Phone

(909) 816-7421

NPI assigned

Jun 17, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Monica Alexia Jauregui-Gomez, LCSW

Title

Chief Executive Officer

Phone

(909) 816-7421

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Monica Jauregui, LCSW

  • Mental Health Counselor
  • Highland, CA
  • NPI 1922484609

  Mental Health

  NPD

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

{
    "created_epoch": "1718582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1548003403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "909-816-7421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 S CARNEGIE DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924084201",
            "telephone_number": "909-816-7421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIPOSA THERAPY, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-17",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "JAUREGUI-GOMEZ",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "ALEXIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "909-816-7421",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adiyla Marin
• Christopher Thomas Marin
• Isaura Marin
• Vanessa Marin
• Isabella Marion
• Gail Marks, MD
• Kaniah Breann Marks
• Marna Health Services, Inc.
• Andrew Abenamar Marquez
• Lorena Cecilia Marquez

• All providers in San Bernardino, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.