Marissa Terenvaldivia Guerrero

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

83676 Issued in CA

Practice address

18350 Mount Langley St Ste 200
Fountain Valley, CA 92708-6912

Phone

(714) 450-4118

NPI assigned

Jul 2, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

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

Specialty

Marriage and Family Therapist

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Ocean Psychiatry IncGroup PAC ID 6305277633, 15 clinicians

Practice addresses (Care Compare)

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.

• Ocean Psychiatry Inc

  • Psychiatry Physician
  • Fremont, CA
  • NPI 1396306338
  Medicare reassignment Care Compare group NPD
• Family Talk Therapy Center

  dba Talk Therapy Center

  • Marriage & Family Therapist
  • Riverside, CA
  • NPI 1174089411
  NPD (past)
• Ocean Psychological Services, Inc.

  • Behavior Analyst
  • Fremont, CA
  • NPI 1932865029
  NPD (past)

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

{
    "created_epoch": "1372723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1922448190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 MOUNT LANGLEY ST STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086912",
            "telephone_number": "714-450-4118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18350 MOUNT LANGLEY ST STE 200",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927086912",
            "telephone_number": "714-450-4118"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19322 Jesse Ln Ste 200",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925085072",
            "country_code": "US",
            "telephone_number": "951-387-4040",
            "fax_number": "951-398-3144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MARISSA",
        "middle_name": "TERENVALDIVIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-02",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "83676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ta Gu, L.A.C. PHD.
• Angelica Guadarrama
• Guardian Health Care Services (D'Amore Healthcare)
• Maria Guerra
• Kristina Guerrero, RBT
• Richard Allen Guerrero Jr., M.D.
• Amanda Guevara
• Daisy Guevara
• Veronica Elena Guidos Valenzuela
• Hassena Gul

• Marriage & Family Therapist in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.