Andrea Raquel Delariyala, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1779 Woodside Rd Ste 200
Redwood City, CA 94061-3438

Phone

(650) 424-0852

Fax

(650) 424-9853

NPI assigned

Aug 27, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Andrea Raquel Lopez Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715040000000",
    "number": "1609200500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 WOODSIDE RD STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613438",
            "telephone_number": "650-424-0852",
            "fax_number": "650-424-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 WOODSIDE RD STE 200",
            "city": "REDWOOD CITY",
            "state": "CA",
            "postal_code": "940613438",
            "telephone_number": "650-424-0852",
            "fax_number": "650-424-9853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40950 Chapel Way",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945384236",
            "country_code": "US",
            "telephone_number": "510-317-1444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELARIYALA",
        "first_name": "ANDREA",
        "middle_name": "RAQUEL",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LOPEZ",
            "middle_name": "RAQUEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Mental Health Counselor in Redwood City, CA
• Providers in Redwood City, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.