Active NPI
Diana Lizbeth Mendez
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1730668732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 92451
- Practice address
- 1400 S Grand Ave Ste 600
Los Angeles, CA 90015-3068 - Phone
- (213) 742-6250
- NPI assigned
- Aug 9, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 92451 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1400 S Grand Ave Ste 600
Los Angeles, CA 90015-3068
Mailing address
1400 S Grand Ave Ste 600
Los Angeles, CA 90015-3068
Phone (213) 742-6250
Other practice location 1
2650 E Foothill Blvd
Pasadena, CA 91107-3439
Phone (626) 577-2261 ext. 2556
Other practice location 2
155 N Occidental Blvd
Los Angeles, CA 90026-4641
Phone (213) 381-2931
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 92451 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1730668732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 S GRAND AVE STE 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153068",
"telephone_number": "213-742-6250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 S GRAND AVE STE 600",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153068",
"telephone_number": "213-742-6250"
}
],
"practiceLocations": [
{
"address_1": "2650 E Foothill Blvd",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911073439",
"country_code": "US",
"telephone_number": "626-577-2261 x2556",
"fax_number": "626-577-2543",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "155 N Occidental Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900264641",
"country_code": "US",
"telephone_number": "213-381-2931",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDEZ",
"first_name": "DIANA",
"middle_name": "LIZBETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "92451",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.