Crystal Carleen Siafega

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

2329 Purdue Dr
Costa Mesa, CA 92626-6365

Phone

(562) 446-5222

NPI assigned

Oct 12, 2022

Last updated

Oct 12, 2022By 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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Acera Health, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Costa Mesa, CA
  • NPI 1043949456
  NPD

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

{
    "created_epoch": "1665532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1811612831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 PURDUE DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266365",
            "telephone_number": "562-446-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 PURDUE DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926266365",
            "telephone_number": "562-446-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIAFEGA",
        "first_name": "CRYSTAL",
        "middle_name": "CARLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-12",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crystalsiafega@acerahealth.com",
            "affiliation": "N",
            "endpointDescription": "secured email contact",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2329 Purdue Dr",
            "city": "Costa Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926266365",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shirin Afrasiabi MD Inc
• Allison Elizabeth Sholly, OD
• December Loraine Shore, RN
• Zachary Shube
• Lakshmi Shukla, MD
• Milton Sibanda
• Melissa Marie Siegl, LVN
• Jonathan Michael Sifferman
• Karim Alison Sill
• Sasha Sill

• Mental Health Counselor in Costa Mesa, CA
• Providers in Costa Mesa, 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 Oct 12, 2022; 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.