Active NPI
Melissa Munoz
- Counselor
- San Diego, CA
National Provider Identifier
1780096057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 110615
- Practice address
- 1465 30TH St Ste K
San Diego, CA 92154-3497 - Phone
- (619) 428-1000
- NPI assigned
- May 21, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 110615 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Counselor | 101Y00000X | 110615 | CA | Primary |
Addresses
Primary practice location
1465 30TH St Ste K
San Diego, CA 92154-3497
Mailing address
9442 Darrow Dr
Huntington Beach, CA 92646-7233
Other practice location 1
1161 Bay Blvd Ste B
Chula Vista, CA 91911-2670
Phone (714) 290-4031
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 |
|---|---|---|---|
| 110615 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609200000000",
"number": "1780096057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9442 DARROW DR",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926467233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1465 30TH ST STE K",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921543497",
"telephone_number": "619-428-1000"
}
],
"practiceLocations": [
{
"address_1": "1161 Bay Blvd Ste B",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919112670",
"country_code": "US",
"telephone_number": "714-290-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MUNOZ",
"first_name": "MELISSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-21",
"last_updated": "2020-12-29",
"certification_date": "2020-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "110615",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": "110615",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.