Keren Lei Evaristo Mortiz, LPCC - Counselor in Fullerton, CA

Keren Lei Evaristo Mortiz, LPCC is a Counselor - Mental Health based in Fullerton, California. Keren Lei Evaristo Mortiz is licensed to practice in California (license number 22015) and her current practice location is 140 E Commonwealth Ave, Fullerton, California. She can be reached at her office (for appointments etc.) via phone at (915) 400-7024.

NPI number for Keren Lei Evaristo Mortiz is 1619734035 and her current mailing address is 140 E Commonwealth Ave, Fullerton, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1619734035.

Contact Information

Keren Lei Evaristo Mortiz, LPCC
140 E Commonwealth Ave,
Fullerton, CA 92832-1905
(915) 400-7024
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKeren Lei Evaristo Mortiz
GenderFemale
SpecialityCounselor - Mental Health
Location140 E Commonwealth Ave, Fullerton, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1619734035
  • Provider Enumeration Date: 03/04/2024
  • Last Update Date: 04/08/2026

Medical Identifiers

Medical identifiers for Keren Lei Evaristo Mortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619734035NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 22015 (California)Primary

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. Keren Lei Evaristo Mortiz is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Keren Lei Evaristo Mortiz, LPCC
140 E Commonwealth Ave,
Fullerton, CA 92832-1905

Ph: () -
Keren Lei Evaristo Mortiz, LPCC
140 E Commonwealth Ave,
Fullerton, CA 92832-1905

Ph: (915) 400-7024

Reviews and Comments


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