Active NPI
Sabrina Guadalupe Gerardo
- Mental Health Counselor
- Los Angeles, CA
National Provider Identifier
1881176857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ACSW92843
- Practice address
- 470 E 3Rd St
Los Angeles, CA 90013-1629 - Phone
- (213) 620-5712
- Fax
- (213) 621-4155
- NPI assigned
- Sep 5, 2018
- 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 | ACSW92843 | CA | Primary |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA |
Addresses
Primary practice location
470 E 3Rd St
Los Angeles, CA 90013-1629
Mailing address
11015 Bloomfield Ave
Santa Fe Springs, CA 90670-4601
Phone (562) 906-2676
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 |
|---|---|---|---|
| ACSW92843 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Special Service for Groups, Inc. | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Los Angeles, CA
- NPI 1811028863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574294400000",
"number": "1881176857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11015 BLOOMFIELD AVE",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906704601",
"telephone_number": "562-906-2676"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 E 3RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900131629",
"telephone_number": "213-620-5712",
"fax_number": "213-621-4155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERARDO",
"first_name": "SABRINA",
"middle_name": "GUADALUPE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-05",
"last_updated": "2019-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ACSW92843",
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.