Individual provider Active NPI

Monique Villasenor, M.S. IMF

  • Addiction (Substance Use Disorder) Counselor
  • San Diego, CA
National Provider Identifier
1568777241
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
AII5021314 Issued in CA
Practice address
7545 Metropolitan Dr
San Diego, CA 92108-4402
Phone
(619) 718-9890
Fax
(619) 718-9897
NPI assigned
Aug 18, 2010
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X AII5021314 CA Primary

Addresses

Primary practice location

7545 Metropolitan Dr
San Diego, CA 92108-4402

Mailing address

1105 Broadway
Suite 207
Chula Vista, CA 91911-2767
Phone (619) 425-5609

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AII5021314CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1282089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1568777241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 BROADWAY",
            "address_2": "SUITE 207",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919112767",
            "telephone_number": "619-425-5609",
            "fax_number": "619-425-8349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7545 METROPOLITAN DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921084402",
            "telephone_number": "619-718-9890",
            "fax_number": "619-718-9897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLASENOR",
        "first_name": "MONIQUE",
        "credential": "M.S. IMF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-18",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "AII5021314",
            "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, 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.