MARISSA MORENO (NPI# 1528693264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528693264 |
| Entity Type | Individual |
| Full Name | MARISSA MORENO |
| Practice Address |
2750 E Washington Blvd Ste 230 Pasadena CA 91107-1449 |
| Mailing Address |
835 Cresthaven Dr Los Angeles CA 90042-1425 |
| Practice Telephone | 6262968900 |
| Mailing Telephone | 8182075780 |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
ASW90737 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952809477 | Marissa Moreno | Counselor | 600 Central Ave Ste 1, Lake Elsinore, CA 92530-2740 | 2018-01-30 |
| 1952921892 | Marissa Moreno | Behavior Technician | 1335 N Dutton Ave # 95401, Santa Rosa, CA 95401-4609 | 2020-04-21 |
| 1053876920 | Marissa Moreno | Behavior Technician | 505 E Commonwealth Ave, Fullerton, CA 92832-4009 | 2019-02-05 |
| Street Address |
2750 E WASHINGTON BLVD STE 230 |
| City | PASADENA |
| State | CA |
| Zip Code | 91107-1449 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417082371 | Eugenia Elena Rodriguez | Marriage & Family Therapist | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2007-02-22 |
| 1518564020 | Jose Jaime Cueva | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2020-10-07 |
| 1093320830 | Kristen Anna Gast | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2020-09-09 |
| 1194330944 | Andrew Paul Garside | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2020-09-09 |
| 1144835976 | Maeve Kathryn Campbell | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2020-09-09 |
| 1174138978 | Isabel Diaz | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2020-09-09 |
| 1568077279 | Cyndy Arlene Osorio Umana | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2020-09-09 |
| 1104431816 | Allison Smith | Student in an Organized Health Care Education/Training Program | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2020-09-09 |
| 1336779750 | Alejandra Lopez Mercado | Rehabilitation Practitioner | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2020-01-24 |
| 1255974606 | Danielle Gutierrez | Case Manager/Care Coordinator | 2750 E Washington Blvd Ste 230, Pasadena, CA 91107-1449 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412002 | Kwasi Nkansa | Physical Medicine & Rehabilitation | 2585 East Washington Blvd, Pasadena, CA 91107 | 2020-06-23 |
| 1609402742 | H & S Hospice Care Inc | Hospice Care, Community Based | 2525 E Colordo Blvd Suite 109, Pasadena, CA 91107 | 2020-03-20 |
| 1013557115 | Cindy Phun | Pharmacist | 3383 E Foothill Blvd, Pasadena, CA 91107 | 2020-01-07 |
| 1184185548 | Preferred Home Health Services | Home Health | 40 N Atlandena Dr Suite 219, Pasadena, CA 91107 | 2019-03-28 |
| 1861973729 | Julia E Underwood | Doula | 2335-115 E. Colorado Blvd #339, Pasadena, CA 91107 | 2018-08-28 |
| 1982183166 | Melissa Castillo | Counselor | 26 S Kinneloa Ave, Pasadena, CA 91107 | 2018-08-09 |
| 1083109904 | Lourice Boutros | Optometrist | 3235 E Colorado Blvd Ste 101, Pasadena, CA 91107 | 2018-06-22 |
| 1902313026 | Cecily Brogdon | Marriage & Family Therapist | 2115 Lambert Drive, Pasadena, CA 91107 | 2018-01-10 |
| 1790204915 | Vanessa Nicole Contreras | Licensed Vocational Nurse | 36 S. Kinneiloa Ave., Pasadena, CA 91107 | 2017-09-19 |
| 1730614397 | Rita Mason | Behavioral Analyst | 890 S Rosemead Blvd, Ste 45, Pasadena, CA 91107 | 2017-04-20 |
| Find all providers in zip 91107 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669079299 | Jessica Jeffers | Counselor | 649 209th St, Pasadena, MD 21122-1427 | 2020-10-06 |
| 1407453350 | Jessie Ann Crabtree | Counselor | 8021 Gov Ritchie Hwy, Pasadena, MD 21122-1047 | 2020-10-05 |
| 1235745118 | Richard S Richardson | Counselor | 146 Harkness Ave, Pasadena, CA 91106-2007 | 2020-09-16 |
| 1467067363 | Kimberley Clayton Blaine | Counselor | 1443 E Washington Blvd Ste 185, Pasadena, CA 91104-2650 | 2020-09-09 |
| 1679185409 | Rodriguez Counseling | Counselor | 2106 Buchanan St, Pasadena, TX 77502-3927 | 2020-08-22 |
| 1992317796 | Carole M Lewis | Counselor | 515 Bonita Ave, Pasadena, CA 91107-5142 | 2020-08-21 |
| 1124637129 | Madeline Myers | Counselor | 3100f Mountain Rd., Pasadena, MD 21122-2018 | 2020-07-26 |
| 1366003279 | John Sovec | Counselor | 16 N Marengo Ave Ste 318, Pasadena, CA 91101-1971 | 2019-06-23 |
| 1750849543 | Bradley J Spoon | Counselor | 8028 Ritchie Highway St. 312, Pasadena, MD 21122 | 2019-03-11 |
| 1215404868 | Jesus Montelongo-cortez | Counselor | 3315 Burke Rd Ste 105, Pasadena, TX 77504-1873 | 2018-10-31 |
| Find all providers in PASADENA | ||||
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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.