Therese Marcella Avila

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2183 Fairview Rd
Ste 100
Costa Mesa, CA 92627-5663

Phone

(949) 515-5440

Fax

(949) 515-5440

NPI assigned

Sep 10, 2007

Last updated

Sep 10, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189382400000",
    "number": "1629263967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2183 FAIRVIEW RD",
            "address_2": "STE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275663",
            "telephone_number": "949-515-5440",
            "fax_number": "949-515-5440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2183 FAIRVIEW RD",
            "address_2": "STE 100",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926275663",
            "telephone_number": "949-515-5440",
            "fax_number": "949-515-5440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILA",
        "first_name": "THERESE",
        "middle_name": "MARCELLA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2007-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Magdalena Avila Lopez, PT, DPT
• Amaya Avila
• David Avila
• Javier Avila
• Monica Avila
• Awesome Mental Health
• Ayahealth Inc
• Miriam Ayala
• Michael David Aylard
• Michael Ayzin, DDS

• Mental Health Counselor in Costa Mesa, CA
• Providers in Costa Mesa, 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 Sep 10, 2007; 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.