Individual provider Active NPI

Christine Stellino

  • Mental Health Counselor
  • Los Angeles, CA
National Provider Identifier
1770073397
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
ASW102438 Issued in CA
Practice address
6636 Selma Ave
Los Angeles, CA 90028-7115
Phone
(714) 595-0771
Fax
(323) 378-3224
NPI assigned
May 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW102438 CA Primary

Addresses

Primary practice location

6636 Selma Ave
Los Angeles, CA 90028-7115

Mailing address

1901 E Center St
Anaheim, CA 92805-3457
Phone (714) 780-0750

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

LicenseStateTypeSpecialty
ASW102438CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Center in Hollywood Mental Health Current Accepting new patients

Locations

6636 Selma Ave
Los Angeles, CA 90028
Phone (323) 460-6220

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1770073397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 E CENTER ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928053457",
            "telephone_number": "714-780-0750",
            "fax_number": "714-780-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 SELMA AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287115",
            "telephone_number": "714-595-0771",
            "fax_number": "323-378-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STELLINO",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-18",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW102438",
            "primary": true
        }
    ],
    "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 Mar 23, 2023; 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.