MS. MYRA BOTELLO (NPI# 1134464852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134464852 |
| Entity Type | Individual |
| Full Name | MS. MYRA BOTELLO |
| Credential | M.A. |
| Practice Address |
901 W Victoria St Ste F&g Compton CA 90220-5807 |
| Mailing Address |
1301 Pine Ave Long Beach CA 90813-3124 |
| Practice Telephone | 3106699510 |
| Mailing Telephone | 5625951159 |
| Enumeration Date | 2012-12-06 |
| Last Update Date | 2014-02-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
901 W VICTORIA ST STE F&G |
| City | COMPTON |
| State | CA |
| Zip Code | 90220-5807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255465613 | Joaquin S Magana | Marriage & Family Therapist | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2007-03-15 |
| 1295376242 | Francesca Campos | Marriage & Family Therapist | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2019-10-01 |
| 1245880046 | Alissa Young | Counselor | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2019-09-13 |
| 1689221715 | Crystal E Cerbantes | Counselor | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2019-08-22 |
| 1083273171 | Rachel Katherine Penate | Counselor | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2019-06-11 |
| 1306332382 | Evelyn Vanessa Alfaro | Counselor | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2018-07-02 |
| 1295229383 | Norma Garcia | Counselor | 901 W Victoria St Ste F&g, Compton, CA 90220 | 2018-06-21 |
| 1295245074 | Maricruz Sanchez | Rehabilitation Practitioner | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2017-10-05 |
| 1114442837 | Denise Monterroso | Marriage & Family Therapist | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2017-08-03 |
| 1720516172 | Vanessa Stephanie Sanchez | Marriage & Family Therapist | 901 W Victoria St Ste F&g, Compton, CA 90220-5807 | 2017-05-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710490925 | Vivian Carolina Cariat | Interpreter | 2499 S. Wilmington Ave., Compton, CA 90220 | 2017-11-09 |
| 1366971632 | Bradlisia Dixon | Marriage & Family Therapist | 15116 S. Gibson Ave., East Rancho Dominguez, CA 90220 | 2017-06-08 |
| 1154701373 | Hilario Enrique Ramirez | Counselor | 901 W Victoria St Ste Fng, Compton, CA 90220 | 2015-06-03 |
| 1366841306 | Jessica Lisbet Diaz | Counselor | 901 W Victoria St. Suite F & G, Compton, CA 90220 | 2014-08-15 |
| 1134466709 | Compassion Care Center | Clinic/Center | 601 S. Arcacia Ave., Compton, CA 90220 | 2013-01-15 |
| 1881931905 | Compassion Care Center, Inc. | Clinic/Center | 900 W. Grenleaf Ave., Compton, CA 90220 | 2013-01-09 |
| 1699033902 | Crittenton Children Andfamily Services | Community/Behavioral Health | 2939 East Pacific Commerce Drive, Rancho Dominguez, CA 90220 | 2012-04-25 |
| 1285909226 | Talatu Peters Oyefeso | Physician Assistant | 701 S. Sante Fe Ave. #5194, Compton, CA 90220 | 2012-03-08 |
| 1881966307 | Nancy Urena | Counselor | 901 W. Victoria St Suite F & G, Compton, CA 90220 | 2012-01-30 |
| 1831470756 | Vanessa Guadalupe Sanchez | Case Manager/Care Coordinator | 1303 West Walnut Park Way, Compton, CA 90220 | 2011-09-06 |
| Find all providers in zip 90220 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720448962 | Liliana L. Lopez Azpeitia | Marriage & Family Therapist | 304 W Elm St, Compton, CA 90220-2113 | 2016-03-01 |
| 1063879567 | Solange Pollack | Marriage & Family Therapist | 3209 N Alameda St Ste Jandk, Compton, CA 90222-1406 | 2016-01-28 |
| 1609245125 | Bryttani Schlater | Marriage & Family Therapist | 600 Alameda Street East, Compton, CA 90221 | 2015-09-15 |
| 1750757480 | Colleen Flores | Marriage & Family Therapist | 509 East Rosecrans Avenue, Compton, CA 90221 | 2015-08-17 |
| 1427395417 | Victor Gabriel | Marriage & Family Therapist | 16526 S Thorson Ave, Compton, CA 90221-5235 | 2013-01-10 |
| 1134419617 | Nikiesha Corine Brooks | Marriage & Family Therapist | 500 N Willowbrook Ave, Unit K 5, Compton, CA 90220-2458 | 2011-04-18 |
| 1831406362 | Sheran Elizabeth Waters-lanchester | Marriage & Family Therapist | 934 W 134th Pl, Compton, CA 90222 | 2010-09-03 |
| 1679751820 | Michael Porco | Marriage & Family Therapist | 215 S Acacia Ave, Compton, CA 90220-3102 | 2008-02-08 |
| 1447461397 | Stacy Simone | Marriage & Family Therapist | 600 N Alameda St East, Compton, CA 90221 | 2007-05-24 |
| 1750597936 | Dana P Marion | Marriage & Family Therapist | 509 E Rosecrans Ave, Compton, CA 90221 | 2007-05-15 |
| Find all providers in COMPTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.