Active NPI
Adriana Avalos
- Mental Health Counselor
- Ontario, CA
National Provider Identifier
1710265756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 2930 Inland Empire Blvd Ste 105
Ontario, CA 91764-4802 - Phone
- (909) 980-6700
- Fax
- (909) 980-6003
- NPI assigned
- Jul 25, 2011
- 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
2930 Inland Empire Blvd Ste 105
Ontario, CA 91764-4802
Mailing address
2930 E. Inland Empire Blvd, Siute 105
Ontario, CA 91764
Phone (909) 980-6700
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1311552000000",
"number": "1710265756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 E. INLAND EMPIRE BLVD, SIUTE 105",
"city": "ONTARIO",
"state": "CA",
"postal_code": "91764",
"telephone_number": "909-980-6700",
"fax_number": "909-980-6003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2930 INLAND EMPIRE BLVD STE 105",
"city": "ONTARIO",
"state": "CA",
"postal_code": "917644802",
"telephone_number": "909-980-6700",
"fax_number": "909-980-6003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVALOS",
"first_name": "ADRIANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-25",
"last_updated": "2011-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ontario, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.