Active NPI
Melissa Garibay
- Mental Health Counselor
- Camarillo, CA
National Provider Identifier
1659990299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 1722 S Lewis Rd
Camarillo, CA 93012-8520 - Phone
- (805) 366-4040
- NPI assigned
- Apr 14, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
1722 S Lewis Rd
Camarillo, CA 93012-8520
Mailing address
116 Agnes Ave
Santa Maria, CA 93458-2838
Other practice location 1
116 Agnes Ave
Santa Maria, CA 93458-2838
Phone (805) 457-3724
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205480563 | Other | TELECARE CORP |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Telecare Corporation | Current | Accepting new patients |
Locations
116 Agnes Ave
Santa Maria, CA 93458
Phone (805) 212-7680
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 and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Santa Maria, CA
- NPI 1205480563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628467200000",
"number": "1659990299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 AGNES AVE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934582838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1722 S LEWIS RD",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930128520",
"telephone_number": "805-366-4040"
}
],
"practiceLocations": [
{
"address_1": "116 Agnes Ave",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934582838",
"country_code": "US",
"telephone_number": "805-457-3724",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARIBAY",
"first_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2021-08-09",
"certification_date": "2021-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TELECARE CORP",
"identifier": "1205480563",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.