Individual provider Active NPI

Raelee Elba Hood

  • Marriage & Family Therapist
  • Fullerton, CA
National Provider Identifier
1952513756
Registry record updated Feb 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
112494 Issued in CA
Practice address
1060 S Brookhurst Rd
Fullerton, CA 92833-3709
Phone
(714) 449-1339
NPI assigned
May 4, 2007
Last updated
Feb 11, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 112494 CA Primary

Addresses

Primary practice location

1060 S Brookhurst Rd
Fullerton, CA 92833-3709

Mailing address

13128 Cullen St
Whittier, CA 90602-3036
Phone (562) 686-2553

Other practice location 1

10511 Mills Ave
Whittier, CA 90604-2440
Phone (562) 944-7953

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
112494CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Alcohol and Drug Programs, Inc. Past Accepting new patients
Southern California Alcohol and Drug Programs, Inc. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1952513756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13128 CULLEN ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906023036",
            "telephone_number": "562-686-2553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 S BROOKHURST RD",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928333709",
            "telephone_number": "714-449-1339"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10511 Mills Ave",
            "address_purpose": "LOCATION",
            "city": "Whittier",
            "state": "CA",
            "postal_code": "906042440",
            "country_code": "US",
            "telephone_number": "562-944-7953",
            "fax_number": "562-946-7494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOD",
        "first_name": "RAELEE",
        "middle_name": "ELBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "112494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.