KENIA LIZETHE GUTIERREZ AVELINO M.A.
NPI 1215602016
Counselor - Professional in Long Beach, CA

Active since August 12, 2021PECOS Enrolled
4565 CALIFORNIA AVE, LONG BEACH, CA 90807(565) 422-8472 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 14, 2021, Aug 23, 2021, Aug 12, 2021 (3 updates tracked since 2021).

About Kenia Lizethe Gutierrez Avelino M.a. NPPES

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

KENIA LIZETHE GUTIERREZ AVELINO M.A. (NPI 1215602016) is an individual professional provider in Long Beach, California, licensed in California (20419) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215602016
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameKENIA LIZETHE GUTIERREZ AVELINOCredential: M.A.
Location Address4565 CALIFORNIA AVELong Beach, CA 90807-1507
Mailing Address1735 N Willow Woods Dr Unit DAnaheim, CA 92807-1457
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateAugust 12, 2021
Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1215602016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Licenses✔ Licensed in CA · 20419✔ Licensed in CA · 10229
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
4565 CALIFORNIA AVE, Long Beach, CA 90807

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kenia Lizethe Gutierrez Avelino M.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052804556
PECOS Enrollment IDI20251203002107
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.

Medicare Billing Reassignment

Medicare enrollment records show Kenia Gutierrez Avelino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
2431 W MARCH LN STE 200
Stockton, CA 95207
  • Reassigned Medicare billing, California enrollment
  • 29 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
4565 CALIFORNIA AVE
LONG BEACH, CA 90807
Student in an Organized Health Care Education/Training Program
4565 CALIFORNIA AVE
LONG BEACH, CA 90807
Marriage & Family Therapist
4565 CALIFORNIA AVE
LONG BEACH, CA 90807
Marriage & Family Therapist
4565 CALIFORNIA AVE
LONG BEACH, CA 90807
Marriage & Family Therapist
4565 CALIFORNIA AVE
LONG BEACH, CA 90807
Student in an Organized Health Care Education/Training Program
4565 CALIFORNIA AVE
LONG BEACH, CA 90807
Social Worker (Clinical)
4565 CALIFORNIA AVE
LONG BEACH, CA 90807
Psychologist (Clinical Child & Adolescent)
4565 CALIFORNIA AVE
LONG BEACH, CA 90807

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenia Gutierrez Avelino's NPI number?

The NPI number for Kenia Gutierrez Avelino is 1215602016. It was assigned to this individual provider in the NPPES registry on August 12, 2021.

Where is Kenia Gutierrez Avelino located?

Kenia Gutierrez Avelino practices at 4565 California Ave, Long Beach, CA 90807. The listed phone number is (565) 422-8472.

What is Kenia Gutierrez Avelino's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Kenia Gutierrez Avelino enrolled in Medicare?

Yes. Kenia Gutierrez Avelino is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kenia Gutierrez Avelino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kenia Gutierrez Avelino reassigns Medicare benefits to An Elegant Sufficiency, A Psychological Corporation (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenia Gutierrez Avelino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kenia Gutierrez Avelino was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.