Individual provider Active NPI

Xochilt Godinez

  • Addiction (Substance Use Disorder) Counselor
  • Pomona, CA
National Provider Identifier
1922470616
Registry record updated Dec 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A055351119 Issued in CA
Practice address
2180 Valley Blvd
Pomona, CA 91768-3325
Phone
(909) 865-2336
NPI assigned
Oct 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X A055351119 CA Primary

Addresses

Primary practice location

2180 Valley Blvd
Pomona, CA 91768-3325

Mailing address

2180 Valley Blvd
Pomona, CA 91768-3325
Phone (909) 865-2336

Other practice location 1

1225 W 6th St
Santa Ana, CA 92703-2101
Phone (714) 972-1402

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

LicenseStateTypeSpecialty
A055351119CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health Current Accepting new patients
Behavioral Health Services Inc. Past Accepting new patients
Straight Talk Clinic, Inc. PastSince Jan 19, 2020 Accepting new patients
American Recovery Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: xochiltgodinez-avrc-ph.lacounty@lacsapc.netsmartdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1445385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1922470616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 VALLEY BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683325",
            "telephone_number": "909-865-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 VALLEY BLVD",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917683325",
            "telephone_number": "909-865-2336"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Santa Ana",
            "state": "CA",
            "postal_code": "927032101",
            "country_code": "US",
            "telephone_number": "714-972-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GODINEZ",
        "first_name": "XOCHILT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-10-21",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A055351119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.