Lauren Cardoso

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

89571 Issued in CA

Practice address

2120 Alpine Blvd
Alpine, CA 91901-2113

Phone

(619) 722-6327

NPI assigned

Dec 4, 2015

Last updated

Jul 15, 2016By 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 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Mood Clinical, P. C.

  • Adult Mental Health Clinic/Center
  • Santa Ana, CA
  • NPI 1922675644
  Medicare reassignment NPD
• Glenn Medical Center, LLC

  dba Glenn Medical Center

  • Critical Access Hospital
  • Willows, CA
  • NPI 1619929759
  NPD (past)

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468540800000",
    "number": "1871968636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152644",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921952644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 ALPINE BLVD",
            "city": "ALPINE",
            "state": "CA",
            "postal_code": "919012113",
            "telephone_number": "619-722-6327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDOSO",
        "first_name": "LAUREN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2016-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "89571",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "89571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edwin Humberto Cabrera, M.D.
• Jenaya Marie Calderilla, D.O.
• Bradley Daniel Caldwell, PTA
• Robert T. Calvert, D.O.
• Nicole Michele Campos, BA
• Kathryn Carero
• Centro de Salud de la Comunidad de San Ysidro, Inc. (San Ysidro Health Alpine Family Medicine)
• Centro de Salud de la Comunidad de San Ysidro,Inc (San Ysidro Health Alpine Pediatrics Medical Clinic)
• Arthi Chawla, MD
• Jenny Chen, RDH

• Mental Health Counselor in Alpine, CA
• Providers in Alpine, 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 Jul 15, 2016; 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.

Verify at the official NPI Registry.