Active NPI
Diane Morelos
- Marriage & Family Therapist
- Oceanside, CA
National Provider Identifier
1871035337
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 119622
- Practice address
- 1528 Kelly St
Oceanside, CA 92054-5524 - Phone
- (562) 422-8472
- NPI assigned
- Nov 14, 2016
- 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 | 94942 | CA | |
| Marriage & Family Therapist | 106H00000X | 119622 | CA | Primary |
Addresses
Primary practice location
1528 Kelly St
Oceanside, CA 92054-5524
Mailing address
1528 Kelly St
Oceanside, CA 92054-5524
Phone (562) 422-8472
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94942 | CA | MD | Mental Health Counselor |
| 119622 | CA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Health Management Psychological Corporation | Current | Accepting new patients | |
| Teladoc Health Medical Group, P.a. | Mental Health | Current | Accepting new patients |
Locations
4110 Edison Ave
Ste 206A
Chino, CA 91710
Phone (951) 454-5577
Interoperability endpoints
- dianemorelos@tdh.allscriptsdirect.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Chino, CA
- NPI 1245791490
-
- Community/Behavioral Health Agency
- Carlsbad, CA
- NPI 1700288768
-
- Family Medicine Physician
- Lewisville, TX
- NPI 1245403567
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594339200000",
"number": "1871035337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1528 KELLY ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545524",
"telephone_number": "562-422-8472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1528 KELLY ST",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920545524",
"telephone_number": "562-422-8472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MORELOS",
"first_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-14",
"last_updated": "2020-07-10",
"certification_date": "2020-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "94942",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "119622",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.