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MERIEM WELDETNSAE HAILE
NPI 1790227965
Counselor - Professional in San Leandro, CA

Active since November 04, 2016PECOS Enrolled
400 ESTUDILLO AVE STE 100, SAN LEANDRO, CA 94577(510) 924-0548 Get Directions Write a Review

NPPES record last updated: January 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 23, 2026, Dec 2, 2024, Nov 22, 2016 and 1 more (4 updates tracked since 2016).

About Meriem Weldetnsae Haile NPPES

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

MERIEM WELDETNSAE HAILE (NPI 1790227965) is an individual professional provider in San Leandro, California, licensed in California (LPCC20935) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1790227965
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMERIEM WELDETNSAE HAILE
Location Address400 ESTUDILLO AVE STE 100San Leandro, CA 94577-4962
Mailing Address400 Estudillo Ave Ste 100San Leandro, CA 94577-4962 · (510) 924-0548
Phone(510) 924-0548
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateNovember 4, 2016
Last NPPES UpdateJanuary 23, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2026
✔ NPI 1790227965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · LPCC20935
Also ListedCommunity Health WorkerTaxonomy 172V00000X
400 ESTUDILLO AVE STE 100, San Leandro, CA 94577
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Meriem Weldetnsae Haile is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6901363548
PECOS Enrollment IDI20260804002827
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 Meriem Haile reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mood Clinical, P. C.
364 mi
Adult Mental Health
980 W 17TH ST STE C
Santa Ana, CA 92706
  • Reassigned Medicare billing, California enrollment
  • 182 clinicians in this Medicare group
NPI 1922675644 (619) 639-9730

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.

MAREN ELIZABETH TROTTER ASW
Counselor (Mental Health)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 352-9200
ALEXIS ELYSE SANCHEZ
Social Worker (Clinical)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
HAO-YUN CHU
Student in an Organized Health Care Education/Training Program
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
MS. JENNIFER RAE CASTELLO MSW, LCSW
Social Worker (Clinical)
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
CINDY TERESA GUTIERREZ
Community Health Worker
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
EMMA MARTINEZ
Student in an Organized Health Care Education/Training Program
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548
MANDY RENE RIVAS-CROSS ASW 123267
Social Worker
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (408) 807-6787
IVVETTE MORA ESTRADA
Case Manager/Care Coordinator
400 ESTUDILLO AVE STE 100
SAN LEANDRO, CA 94577
Alameda County (510) 924-0548

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 Meriem Haile's NPI number?

The NPI number for Meriem Haile is 1790227965. It was assigned to this individual provider in the NPPES registry on November 4, 2016.

Where is Meriem Haile located?

Meriem Haile practices at 400 Estudillo Ave Ste 100, San Leandro, CA 94577. The listed phone number is (510) 924-0548.

What is Meriem Haile's specialty?

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

Is Meriem Haile enrolled in Medicare?

Yes. Meriem Haile is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Meriem Haile's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Meriem Haile reassigns Medicare benefits to Mood Clinical, P. C. (Santa Ana, 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 Meriem Haile'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 Meriem Haile was last updated on January 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.