MS. MYRA BOTELLO M.A. - NPI 1134464852 - Marriage & Family Therapist in Norwalk, CA

Q: What is the provider's specialty?

The provider's specialty is Marriage & Family Therapist with taxonomy code 106H00000X.

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About Ms. Myra Botello M.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MYRA BOTELLO M.A. (NPI 1134464852) is an individual marriage & family therapist in Norwalk, California, licensed in California (102534) and active in the NPI registry since December 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134464852

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. MYRA BOTELLOCredential: M.A.

Location Address12501 IMPERIAL HWY STE 400Norwalk, CA 90650-1419

Mailing Address9137 Brookshire AveDowney, CA 90240-2910 · (562) 457-7268

Phone(562) 807-6200

Sole ProprietorNo

Enumeration DateDecember 6, 2012

Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration

NPPES CertifiedNovember 8, 2024

✔ NPI 1134464852 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 102534

Definition

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.

12501 IMPERIAL HWY STE 400, Norwalk, CA 90650

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Myra Botello M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.