Active NPI
Mayra Jane Estrada, MA.,
- Mental Health Counselor
- Mission Viejo, CA
National Provider Identifier
1871959098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 101911
- Practice address
- 26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337 - Phone
- (949) 595-8610
- NPI assigned
- Jan 4, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 101911 | CA | Primary |
Addresses
Primary practice location
26137 La Paz Rd Ste 230
Mission Viejo, CA 92691-5337
Mailing address
13968 Dawson St
Garden Grove, CA 92843-3147
Phone (657) 263-4362
Other practice location 1
1001 S Grand Ave
Santa Ana, CA 92705-4121
Phone (714) 667-7636
Other names 1
- Ms. Mayra Judith Murillo
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101911 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Youth Services | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adolescent and Children Mental Health Clinic/Center
- Mission Viejo, CA
- NPI 1790817468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529452800000",
"number": "1871959098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13968 DAWSON ST",
"city": "GARDEN GROVE",
"state": "CA",
"postal_code": "928433147",
"telephone_number": "657-263-4362"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26137 LA PAZ RD STE 230",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926915337",
"telephone_number": "949-595-8610"
}
],
"practiceLocations": [
{
"address_1": "1001 S Grand Ave",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927054121",
"country_code": "US",
"telephone_number": "714-667-7636",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ESTRADA",
"first_name": "MAYRA",
"middle_name": "JANE",
"name_prefix": "Ms.",
"credential": "MA.,",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-04",
"last_updated": "2018-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "101911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MAYRA",
"last_name": "MURILLO",
"middle_name": "JUDITH",
"prefix": "MS.",
"credential": "BA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.