Active NPI
Giselle Moreno
- Professional Counselor
- San Diego, CA
National Provider Identifier
1669110987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 14778
- Practice address
- 1424 30TH St Ste a
San Diego, CA 92154-3417 - Phone
- (619) 565-2650
- NPI assigned
- May 25, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 14778 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1424 30TH St Ste a
San Diego, CA 92154-3417
Mailing address
1886 Toulouse Dr
Chula Vista, CA 91913-2998
Phone (619) 600-7725
Other practice location 1
3020 Childrens Way # Mc5016
San Diego, CA 92123-4223
Phone (858) 576-1700 ext. 24125
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmoreno6803@sdsu.edu | Direct | |
| Direct Messaging Address | gmoreno@ecscalifornia.org | Direct |
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 |
|---|---|---|---|
| Episcopal Community Services | Current | Accepting new patients | |
| Episcopal Community Services | Past | Accepting new patients |
Locations
1424 30th St
Ste A
San Diego, CA 92154
Phone (619) 248-1570
Organizations & group practices 2
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.
-
- Early Intervention Provider Agency
- San Diego, CA
- NPI 1669629390
-
- Early Intervention Provider Agency
- San Diego, CA
- NPI 1295852325
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717372800000",
"number": "1669110987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1886 TOULOUSE DR",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132998",
"telephone_number": "619-600-7725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424 30TH ST STE A",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543417",
"telephone_number": "619-565-2650"
}
],
"practiceLocations": [
{
"address_1": "3020 Childrens Way # Mc5016",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921234223",
"country_code": "US",
"telephone_number": "858-576-1700 x24125",
"fax_number": "858-966-8148",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MORENO",
"first_name": "GISELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-25",
"last_updated": "2024-06-03",
"certification_date": "2024-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "CA",
"license": "14778",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmoreno6803@sdsu.edu",
"affiliation": "N",
"endpointDescription": "School email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "SDSU School email",
"address_1": "3020 Childrens Way # Mc5016",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921234223",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmoreno@ecscalifornia.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1424 30th St Ste A",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921543417",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.