Individual provider Active NPI

Carlos Rosas Guerrero, LCSW

  • Mental Health Counselor
  • Ventura, CA
National Provider Identifier
1619486529
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
92579 Issued in CA
Practice address
1500 Palma Dr
Ventura, CA 93003-6451
Phone
(805) 283-9522
Fax
(888) 958-5269
NPI assigned
Sep 22, 2017
Last updated
Dec 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 92579 CA Primary
Clinical Social Worker 1041C0700X 92579 CA

Addresses

Primary practice location

1500 Palma Dr
Ventura, CA 93003-6451

Mailing address

1130 E Clark Ave Ste 150 # 378
Santa Maria, CA 93455-3479
Phone (805) 260-5619

Other practice location 1

1414 S Miller Street
Suite P
Santa Maria, CA 93454
Phone (805) 260-5619

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

State licenses

LicenseStateTypeSpecialty
92579CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Carlos Guerrero Licensed Clinical Social Worker, Inspiration Point Cou Mental Health CurrentSince Feb 1, 2022 Accepting new patients

Locations

2390 Las Posas Rd
Ste C151
Camarillo, CA 93010

1130 E Clark Ave
Ste 150
Santa Maria, CA 93455
Phone (805) 283-9522

1414 S Miller St
Ste P
Santa Maria, CA 93454
Phone (805) 260-5619

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1619486529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 E CLARK AVE STE 150 # 378",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934553479",
            "telephone_number": "805-260-5619",
            "fax_number": "805-738-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 PALMA DR",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930036451",
            "telephone_number": "805-283-9522",
            "fax_number": "888-958-5269"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1414 S Miller Street",
            "address_2": "Suite P",
            "address_purpose": "LOCATION",
            "city": "Santa Maria",
            "state": "CA",
            "postal_code": "93454",
            "country_code": "US",
            "telephone_number": "805-260-5619",
            "fax_number": "805-738-7880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "CARLOS",
        "middle_name": "ROSAS",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-22",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "92579",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "92579",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.