Individual provider Active NPI

Giselle Moreno

  • Professional Counselor
  • San Diego, CA
National Provider Identifier
1669110987
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
14778 Issued in CA
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

Updated by the provider on Jun 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 14778 CA Primary
Student in an Organized Health Care Education/Training ProgramGroup: 193200000X MULTI-SPECIALTY GROUP 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

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Episcopal Community Services CurrentSince Jun 9, 2024 Accepting new patients
Episcopal Community Services PastSince Jun 9, 2024 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.

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.

Verify at the official NPI Registry.