Liset Llerenas

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

APCC8652 Issued in CA

Practice address

20101 SW Birch St Ste 240
Newport Beach, CA 92660-1769

Phone

(714) 306-8668

NPI assigned

Jul 28, 2021

Last updated

Jul 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1627430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627430400000",
    "number": "1770256547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20101 SW BIRCH ST",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601748",
            "telephone_number": "949-476-7033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20101 SW BIRCH ST STE 240",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601769",
            "telephone_number": "714-306-8668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LLERENAS",
        "first_name": "LISET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-28",
        "last_updated": "2021-07-28",
        "certification_date": "2021-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC8652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Email",
            "affiliation": "N",
            "address_1": "20101 SW Birch St Ste 240",
            "city": "Newport Beach",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926601769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Liv Integrative Health Inc.
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• Ginny Liwanpo, PSY.D.
• Liz Bales, M.D., a Professional Corporation
• Liz Caz Nutrition
• Shane Alun James Lloyd, M.D., PH.D.
• Tamara Lloyd, MA, OTR/L
• Beth Lo, MD
• Cesiah Sinai Lobato
• Charles Andrew Loeb, MD

• Mental Health Counselor in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.

Verify at the official NPI Registry.