ALYSSA DIAZ
NPI 1609356955
Counselor in Moreno Valley, CA

Q: What is Alyssa Diaz's NPI number?

The NPI number for Alyssa Diaz is 1609356955. It was assigned to this individual provider in the NPPES registry on August 16, 2018.

Q: What is Alyssa Diaz's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Alyssa Diaz was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.

Active since August 16, 2018PECOS Enrolled

13800 HEACOCK ST STE C220, MORENO VALLEY, CA 92553(951) 653-1800 Get Directions Write a Review

NPPES record last updated: October 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 2, 2024, Jul 28, 2023, Jun 6, 2022 and 4 more (7 updates tracked since 2018).

On this page

About Alyssa Diaz NPPES

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

ALYSSA DIAZ (NPI 1609356955) is an individual counselor in Moreno Valley, California, licensed in California (10307) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1609356955

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameALYSSA DIAZ

Location Address13800 HEACOCK ST STE C220Moreno Valley, CA 92553-3363

Mailing Address13800 Heacock St Ste C220Moreno Valley, CA 92553-3363 · (951) 653-1800

Phone(951) 653-1800

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 16, 2018

Last NPPES UpdateOctober 2, 20247 updates tracked since enumeration

NPPES CertifiedOctober 2, 2024

✔ NPI 1609356955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in CA · 10307

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License APCC10307 (CA)

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License APCC10307 (CA)

13800 HEACOCK ST STE C220, Moreno Valley, CA 92553

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alyssa Diaz is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3274032651

PECOS Enrollment IDI20250814002540

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.

Other Providers at the Same Location NPPES 15

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

ROCIO SAAVEDRA

Case Manager/Care Coordinator