Maribel Alaniz Mendez

Key facts

NPI

1689370298

Entity type

Individual (NPI type 1)

Primary specialty

Marriage & Family Therapist 106H00000X

License

153790 (CA)

Practice address

9700 El Camino Real Ste 200
Atascadero, CA 93422-5579

Phone

(805) 464-6617

NPI assigned

Feb 6, 2023

Sex

Female

Sole proprietor

No

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.

• Sud Specialty Group - Ca Addiction Medicine (Psychiatry & Neurology) Physician · Santa Clara, CA · NPI 1972138238
  Medicare reassignment NPD CA · MARRIAGE & FAMILY THERAPIST
• One Session at a Time Community/Behavioral Health Agency · Woodland Hills, CA · NPI 1508721176
  NPD Authorized official

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 20, 2025.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1689370298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 TOPANGA CANYON BLVD UNIT 711",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913045583",
            "telephone_number": "818-805-4524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 EL CAMINO REAL STE 200",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934225579",
            "telephone_number": "805-464-6617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALANIZ MENDEZ",
        "first_name": "MARIBEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10997",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "153790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Atascadero, CA · Marriage & Family Therapist in California