MICHELLE MORENO (NPI# 1538647680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538647680 |
| Entity Type | Individual |
| Full Name | MICHELLE MORENO |
| Practice Address |
8616 La Tijera Blvd Ste 200 Los Angeles CA 90045-3945 |
| Mailing Address |
333 S Beaudry Ave Los Angeles CA 90017-1466 |
| Practice Telephone | 3103371550 |
| Mailing Telephone | 2132413841 |
| Mailing Fax Number | 2132413305 |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW90288 | CA | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 333 S Beaudry Ave, Los Angeles, CA 900171466 | 2132413841 | 2132413305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619501525 | Michelle Gracie Moreno | Technician | 10125 Frazier Rd, Redding, CA 96003-9241 | 2020-02-29 |
| 1689910614 | Michelle Eugenia Moreno | Licensed Vocational Nurse | 2300 S Lewis St Spc 70, Anaheim, CA 92802-5017 | 2012-12-19 |
| 1710528930 | Michelle Moreno | Technician | 23880 Scarlet Oak Dr, Murrieta, CA 92562-5084 | 2019-09-30 |
| 1184193625 | Michelle Stacy Moreno | Case Manager/Care Coordinator | 1685 Baldwin Ave Ste 100, Pontiac, MI 48340-1115 | 2018-11-14 |
| 1013426683 | Michelle Elise Moreno | Physician Assistant | 100 E 77th St, New York, NY 10075-1850 | 2017-09-26 |
| 1407223373 | Michelle Moreno | Dental Hygienist | 6 102nd St, Troy, NY 12180-1152 | 2015-08-27 |
| 1710241310 | Michelle Moreno | Social Worker | 615 13th St, Suite B, Modesto, CA 95354-2456 | 2012-06-28 |
| 1174769434 | Michelle Moreno | Family Medicine | 1400 S Arlington St Unit 38, Akron, OH 44306-3771 | 2008-12-16 |
| 1407050362 | Michelle Moreno | Counselor | 8745 County Road 9 S, Alamosa, CO 81101-9610 | 2007-06-13 |
| Street Address |
8616 LA TIJERA BLVD STE 200 |
| City | LOS ANGELES |
| State | CA |
| Zip Code | 90045-3945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578605127 | Pacific Asian Counseling Services | Community/Behavioral Health | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2007-02-12 |
| 1710520119 | Carolina Vera | Case Manager/Care Coordinator | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2019-10-18 |
| 1700438496 | Lizeth Sedeno | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2019-07-12 |
| 1114589520 | Dalia Gonzalez | Community Health Worker | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2019-07-05 |
| 1598231227 | Wondy Chew | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-10-20 |
| 1629544846 | Morgan Ashley Martinez | Counselor | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-10-15 |
| 1588159396 | Khai Lyee Yeap | Marriage & Family Therapist | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-06-25 |
| 1730685744 | Jonathan J Castaneda | Case Manager/Care Coordinator | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-03-30 |
| 1659889848 | Alberto Candido Gutierrez | Marriage & Family Therapist | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045-3945 | 2018-01-22 |
| 1003320748 | Thomas Earl Morningstar | Rehabilitation Practitioner | 8616 La Tijera Blvd Ste 200, Los Angeles, CA 90045 | 2017-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396388849 | Laska Dental Inc | Dentist | 5602 W Manchester Ave, Los Angeles, CA 90045 | 2019-10-28 |
| 1245889179 | Ana Arias | Physical Therapist | 6801 Terrace Drive, Suite 200, Los Angeles, CA 90045 | 2019-09-04 |
| 1144719410 | Family Dental Care 4 You | Dentist | 5602 W. Manchester Ave, Los Angeles, CA 90045 | 2018-05-02 |
| 1821504002 | Rhonda Taylor | Counselor | 8703 La Tijera Blvd Ste 201, Los Angeles, CA 90045 | 2017-12-24 |
| 1114436839 | Blanca Melisa Gomez I | Case Manager/Care Coordinator | 7423 1/4 S Sepulveda Blvd, Los Angeles, CA 90045 | 2017-09-26 |
| 1639688831 | Kalila Magbanua-stein | Counselor | 8618 La Tijera Blvd., Suite 200, Los Angeles, CA 90045 | 2017-09-20 |
| 1568984185 | Angela Mull | Marriage & Family Therapist | 8616 Latijera Blvd, Suite 307, Los Angeles, CA 90045 | 2017-07-14 |
| 1386171585 | Patricia Ann Bridewell | Registered Nurse | 5245 Concourse Drive, Suite 100, Los Angeles, CA 90045 | 2017-05-18 |
| 1679937627 | Thelese Consulting Group | Community/Behavioral Health | 8929 S. Sepulveda Blvd, Suite 400, Los Angeles, CA 90045 | 2016-04-06 |
| 1568823318 | Keith Romalis Ellison | Specialist/Technologist | One Lmu Drive, Gersten Pavilion - Athletic Training Room, Los Angeles, CA 90045 | 2016-03-08 |
| Find all providers in zip 90045 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912506361 | Kathryn A Miller | Counselor | 1965 1/2 N Bronson Ave, Los Angeles, CA 90068-5601 | 2020-10-17 |
| 1669088464 | Bethel Los Angeles Community Development Corporation | Counselor | 7900 S Western Ave, Los Angeles, CA 90047-2715 | 2020-09-17 |
| 1346855244 | Sorenson Psychological and Assessment Services | Counselor | 12301 Wilshire Blvd Ste 413, Los Angeles, CA 90025-1051 | 2020-09-09 |
| 1841800190 | Daniela Sanchez | Counselor | 5081 Borland Rd, Los Angeles, CA 90032-3950 | 2020-08-02 |
| 1649888512 | David John Laing | Counselor | 3100 Riverside Dr Apt 220, Los Angeles, CA 90027-1481 | 2020-07-16 |
| 1366060659 | Amy H Kim | Counselor | 2152 Lemoyne St, Los Angeles, CA 90026-1950 | 2020-07-13 |
| 1083231435 | Leslie Gluck | Counselor | 11835 W Olympic Blvd Ste 815, Los Angeles, CA 90064-5056 | 2020-07-01 |
| 1104441112 | Barbara R Ponse | Counselor | 655 S Dunsmuir Ave Apt 201, Los Angeles, CA 90036-4087 | 2020-06-15 |
| 1033734264 | Shelley Baird Smith | Counselor | 265 S St Andrews Pl, Los Angeles, CA 90004-5029 | 2020-06-12 |
| 1801411566 | Tyler Grant Daly | Counselor | 4221 Wilshire Blvd # 290, Los Angeles, CA 90010-3512 | 2020-06-09 |
| Find all providers in LOS ANGELES | ||||
| City | LOS ANGELES |
| Zip Code | 90045 |
Please comment or provide details below to improve the information on MICHELLE MORENO.
| 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.