Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genesis Berenice Gomez-Tello

Individual provider Mental Health Counselor · NPI 1528526845

Genesis Berenice Gomez-Tello is a Mental Health Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

4211 Avalon Blvd
Los Angeles, CA 90011-5622
Phone: (323) 233-0425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 112321 (CA)
Mental Health Counselor Taxonomy 101YM0800X · Licence 87605 (CA)
Social Worker Taxonomy 104100000X · Licence 87605 (CA)

Record details

NPI number1528526845
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 5, 2019
Last updated in NPPESDecember 1, 2022
Certification dateDecember 1, 2022

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