Marinna Ashlee Hartwick

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

143368 Issued in CA

Practice address

31946 Mission TRL Ste B
Lake Elsinore, CA 92530-4539

Phone

(951) 245-7663

NPI assigned

Dec 15, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1671062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1982316436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28390 TODWELL AVE",
            "city": "ROMOLAND",
            "state": "CA",
            "postal_code": "925859195",
            "telephone_number": "951-662-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31946 MISSION TRL STE B",
            "city": "LAKE ELSINORE",
            "state": "CA",
            "postal_code": "925304539",
            "telephone_number": "951-245-7663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "612 S Myrtle Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Monrovia",
            "state": "CA",
            "postal_code": "910163406",
            "country_code": "US",
            "telephone_number": "760-992-3039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTWICK",
        "first_name": "MARINNA",
        "middle_name": "ASHLEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-15",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "143368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Derek B. Hauser, DDS
• Tracey Denise Hauser, LVN

• Mental Health Counselor in Lake Elsinore, CA
• Providers in Lake Elsinore, 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 Feb 6, 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.