Fatima Mendoza, LPCC 17018 in Aliso Viejo, CA

Fatima Mendoza, LPCC 17018 is a medicare enrolled "Counselor - Professional" provider in Aliso Viejo, California. Her current practice location is 23413 Via San Gabriel, Aliso Viejo, California. You can reach out to her office (for appointments etc.) via phone at (714) 485-8983.

Fatima Mendoza is licensed to practice in California (license number 17018) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1780418574.

Contact Information

	Fatima Mendoza, LPCC 17018
	23413 Via San Gabriel, Aliso Viejo, CA 92656-1133
	(714) 485-8983
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Fatima Mendoza
Gender	Female
Speciality	Counselor - Professional
Location	23413 Via San Gabriel, Aliso Viejo, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1780418574
Provider Enumeration Date: 08/26/2024
Last Update Date: 09/18/2024

Medicare PECOS Information:

PECOS PAC ID: 1456881689
Enrollment ID: I20250204000262

Medical Identifiers

Medical identifiers for Fatima Mendoza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780418574	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101Y00000X	Counselor	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	17018 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Fatima Mendoza allows following entities to bill medicare on her behalf.

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fatima Mendoza is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Fatima Mendoza, LPCC 17018 24310 Moulton Pkwy Suite O, Po Box 254, Laguna Hills, CA 92637-1133 Ph: () -	Fatima Mendoza, LPCC 17018 23413 Via San Gabriel, Aliso Viejo, CA 92656-1133 Ph: (714) 485-8983

Reviews and Comments

Counselor in Aliso Viejo, CA

Maria Del Rosario Gutierrez Enciso, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Mareblu, Aliso Viejo, CA 92656 Phone: 949-643-6901
Ryann Monteiro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Mareblu Ste 250, Aliso Viejo, CA 92656 Phone: 714-655-7804
Nathan Glen Knott, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Mareblu, Aliso Viejo, CA 92656 Phone: 949-643-6901
Dean Dixon, M.A., RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 Trofello Ln, Aliso Viejo, CA 92656 Phone: 949-735-9661
Mr. Paul R Fuller, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Mareblu, Ste 259, Aliso Viejo, CA 92656 Phone: 949-643-6930
Emily Zandbergen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Summerwood, Aliso Viejo, CA 92656 Phone: 570-881-3882
Sarah Hultquist, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 26791 Aliso Creek Rd # 1080, Aliso Viejo, CA 92656 Phone: 949-232-3359

Fatima Mendoza, LPCC 17018 - Medicare Counselor in Aliso Viejo, CA