Active NPI
Jeanette Aguayo
- Mental Health Counselor
- Santa Paula, CA
National Provider Identifier
1780131482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 540 Citrus St
Santa Paula, CA 93060-1715 - Phone
- (805) 844-3040
- NPI assigned
- Sep 9, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Mental Illness Community Based Residential Treatment Facility | 320800000X |
Addresses
Primary practice location
540 Citrus St
Santa Paula, CA 93060-1715
Mailing address
540 Citrus St
Santa Paula, CA 93060-1715
Phone (805) 844-3040
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475798400000",
"number": "1780131482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 CITRUS ST",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930601715",
"telephone_number": "805-844-3040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "540 CITRUS ST",
"city": "SANTA PAULA",
"state": "CA",
"postal_code": "930601715",
"telephone_number": "805-844-3040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AGUAYO",
"first_name": "JEANETTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-09",
"last_updated": "2016-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Paula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.