Marina Mendes, APCC15511

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

15511 Issued in CA

Practice address

5619 N Figueroa St
Highland Park, CA 90042-4977

Phone

(213) 302-5216

NPI assigned

Nov 12, 2024

Last updated

Nov 12, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1922822311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1977 N KENMORE AVE APT 3",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900271895",
            "telephone_number": "847-826-8396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 N FIGUEROA ST",
            "city": "HIGHLAND PARK",
            "state": "CA",
            "postal_code": "900424977",
            "telephone_number": "213-302-5216"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1977 N Kenmore Ave Apt 3",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900271895",
            "country_code": "US",
            "telephone_number": "847-826-8396",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDES",
        "first_name": "MARINA",
        "credential": "APCC15511",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-12",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "15511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Highland Park, CA
• Providers in Highland Park, 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 Nov 12, 2024; 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.