Active NPI
Lorena Ortiz
- Mental Health Counselor
- Wasco, CA
National Provider Identifier
1659793735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- AMFT109115
- Practice address
- 930 F St
Wasco, CA 93280-2040 - Phone
- (661) 674-3377
- Fax
- (661) 240-5840
- NPI assigned
- Jan 9, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | AMFT109115 | CA | Primary |
Addresses
Primary practice location
930 F St
Wasco, CA 93280-2040
Mailing address
6314 Symphony St
Bakersfield, CA 93307-7018
Phone (661) 205-1442
Other practice location 1
5121 Stockdale Hwy Ste 200
Bakersfield, CA 93309
Phone (661) 473-1500
Other practice location 2
5121 Stockdale Hwy Ste 200
Bakersfield, CA 93309
Phone (661) 473-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659793735 | Medicaid | CA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT109115 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1659793735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6314 SYMPHONY ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933077018",
"telephone_number": "661-205-1442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "930 F ST",
"city": "WASCO",
"state": "CA",
"postal_code": "932802040",
"telephone_number": "661-674-3377",
"fax_number": "661-240-5840"
}
],
"practiceLocations": [
{
"address_1": "5121 Stockdale Hwy Ste 200",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "93309",
"country_code": "US",
"telephone_number": "661-473-1500",
"fax_number": "661-735-8559",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5121 Stockdale Hwy Ste 200",
"address_purpose": "LOCATION",
"city": "Bakersfield",
"state": "CA",
"postal_code": "93309",
"country_code": "US",
"telephone_number": "661-473-1500",
"fax_number": "661-735-8559",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ORTIZ",
"first_name": "LORENA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-09",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "AMFT109115",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1659793735",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 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.