Active NPI
Menuka Senaratne
- Professional Counselor
- Tustin, CA
National Provider Identifier
1932848371
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 18067
- Practice address
- 12821 Newport Ave
Tustin, CA 92780-2711 - Phone
- (714) 803-4866
- NPI assigned
- Jun 2, 2022
- Last updated
- Nov 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 18067 | CA | Primary |
Addresses
Primary practice location
12821 Newport Ave
Tustin, CA 92780-2711
Mailing address
1102 Simplicity
Irvine, CA 92620-2876
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732579200000",
"number": "1932848371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1102 SIMPLICITY",
"city": "IRVINE",
"state": "CA",
"postal_code": "926202876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12821 NEWPORT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927802711",
"telephone_number": "714-803-4866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SENARATNE",
"first_name": "MENUKA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-02",
"last_updated": "2024-11-26",
"certification_date": "2024-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "18067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 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.