Active NPI
Maryann Menchaca-Durette, LVN, RRW
- Addiction (Substance Use Disorder) Counselor
- El Cajon, CA
National Provider Identifier
1932221462
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 37-09
- Practice address
- 234 N Magnolia Ave
El Cajon, CA 92020-3906 - Phone
- (619) 579-8373
- Fax
- (619) 579-8155
- NPI assigned
- Apr 4, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37-09 | CA | Primary |
Addresses
Primary practice location
234 N Magnolia Ave
El Cajon, CA 92020-3906
Mailing address
1010 Paseo Entrada
Chula Vista, CA 91910-6723
Phone (619) 421-2239
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 |
|---|---|---|---|
| 37-09 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932221462",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 PASEO ENTRADA",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919106723",
"telephone_number": "619-421-2239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 N MAGNOLIA AVE",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920203906",
"telephone_number": "619-579-8373",
"fax_number": "619-579-8155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENCHACA-DURETTE",
"first_name": "MARYANN",
"name_prefix": "Mrs.",
"credential": "LVN, RRW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "37-09",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.