EUNICE DOLORES FUENTES
NPI 1366000226
Counselor - Professional in Inglewood, CA

Active since June 04, 2019PECOS Enrolled
4623 LENNOX BLVD, INGLEWOOD, CA 90304(310) 850-4623 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 15, 2022, Jun 4, 2019 (2 updates tracked since 2019).

About Eunice Dolores Fuentes NPPES

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

EUNICE DOLORES FUENTES (NPI 1366000226) is an individual professional provider in Inglewood, California and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366000226
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameEUNICE DOLORES FUENTES
Location Address4623 LENNOX BLVDInglewood, CA 90304-2215
Mailing Address4623 Lennox BlvdInglewood, CA 90304-2215 · (310) 850-4623
Sole ProprietorNo
Enumeration DateJune 4, 2019
Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
✔ NPI 1366000226 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
4623 LENNOX BLVD, Inglewood, CA 90304

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eunice Dolores Fuentes 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Eunice Fuentes reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
402 W BROADWAY STE 400
San Diego, CA 92101
  • Reassigned Medicare billing, California enrollment
  • 545 clinicians in this Medicare group
Clinical
8421 AUBURN BLVD, SUITE 110
Citrus Heights, CA 95610
  • Reassigned Medicare billing, California enrollment
  • 39 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

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

Community/Behavioral Health
4623 LENNOX BLVD
INGLEWOOD, CA 90304

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 Eunice Fuentes's NPI number?

The NPI number for Eunice Fuentes is 1366000226. It was assigned to this individual provider in the NPPES registry on June 4, 2019.

Where is Eunice Fuentes located?

Eunice Fuentes practices at 4623 Lennox Blvd, Inglewood, CA 90304. The listed phone number is (310) 850-4623.

What is Eunice Fuentes's specialty?

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

Is Eunice Fuentes enrolled in Medicare?

Yes. Eunice Fuentes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eunice Fuentes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eunice Fuentes reassigns Medicare benefits to 2 organizations: Cyti Health PC (San Diego, CA) and Lumen Health And Psychological Services Inc. (Citrus Heights, CA). Each 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 Eunice Fuentes'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 Eunice Fuentes was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.