Active NPI
Jenine Andrea Chotirawi, ED.S
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1790013399
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 616 N Record Ave
Los Angeles, CA 90063-1838 - Phone
- (323) 273-1903
- NPI assigned
- Nov 20, 2009
- Last updated
- Nov 20, 2009
- Sex
- Female
- Sole proprietor
- No
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 | ||
| School Psychologist | 103TS0200X | 090183898 | CA |
Addresses
Primary practice location
616 N Record Ave
Los Angeles, CA 90063-1838
Mailing address
616 N Record Ave
Los Angeles, CA 90063-1838
Phone (323) 273-1903
Other names 1
- Jenine Andrea Gutierrez
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 |
|---|---|---|---|
| 090183898 | CA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1258675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258675200000",
"number": "1790013399",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "616 N RECORD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900631838",
"telephone_number": "323-273-1903"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "616 N RECORD AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900631838",
"telephone_number": "323-273-1903"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOTIRAWI",
"first_name": "JENINE",
"middle_name": "ANDREA",
"credential": "ED.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-20",
"last_updated": "2009-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "CA",
"license": "090183898",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENINE",
"last_name": "GUTIERREZ",
"middle_name": "ANDREA",
"code": "1",
"type": "Former Name"
}
]
}
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 Nov 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.