Nefertiti Amenra, MSW

Individual provider Active NPI Mental Health Counselor · Chula Vista, CA

NPI 1760872014 · NPPES record last updated Jan 26, 2015

Key facts

NPI
1760872014
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
1612-4 Paseo Carina
Chula Vista, CA 91915
Phone
(619) 779-7749
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Behavioral Health and Rehabilitation Services Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

1612-4 Paseo Carina
Chula Vista, CA 91915

Mailing address

1612 Paseo Carina Unit 4
Chula Vista, CA 91915-1744
Phone (619) 779-7749

Other providers in Chula Vista, CA

All providers in Chula Vista, CA · Mental Health Counselor in California

Sources for this page

Verify at the official NPI Registry.