MISS LISSETT CHAVEZ MURILLO – Mental Health Counselor, NPI 1124552955

MISS LISSETT CHAVEZ MURILLO is a healthcare provider. based in Ontario, California. specializing in MENTAL HEALTH COUNSELOR. They hold a License No. 16590 (CA). The NPI Number for MISS LISSETT CHAVEZ MURILLO is 1124552955

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
MISS LISSETT CHAVEZ MURILLO
NPI
1124552955
Phone
(909) 484-2848
Address
800 FERRARI STE 100
Enumeration Date
19 April 2017
Last Update Date
22 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9095576574
Graduation Year
2020 (6 years ago)
PAC ID
1254848377
Group Practice PAC ID
1254773054
Professional Enrollment ID
I20250724002097
Address ID
CA923744555RE2068XLNXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:9State licenses:1Digital endpointsOther names

682 MENTAL HEALTH COUNSELOR in CA

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Provider Addresses for MISS LISSETT CHAVEZ MURILLO

  • Ferrari of Ontario, Auto Park Circle, Vaughan, York Region, Golden Horseshoe, Ontario, L4L 8R1, Canada

    ONTARIO, CA 917645031

    Phone: (909) 484-2848

    Type: Mailing

  • 200 W SANTA ANA BLVD

    SANTA ANA, CA 927014134

    Phone: (714) 704-5900

    Type: Mailing

  • 18350 MOUNT LANGLEY ST STE 200

    FOUNTAIN VALLEY, CA 927086912

    Phone: (714) 378-2620

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-24

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250724002097IMental Health CounselorCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 91764)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1254773054View full group profile
NameSpecialtyState
Marriage And Family TherapistCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA
Clinical Social WorkerCA
Marriage And Family TherapistCA
Marriage And Family TherapistCA

Reviews

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Frequently asked questions

What identifier follows MISS LISSETT CHAVEZ MURILLO across health systems?
The NPI 1124552955 uniquely identifies MISS LISSETT CHAVEZ MURILLO in U.S. healthcare data.
Is MISS LISSETT CHAVEZ MURILLO's NPI status active today?
Active status means MISS LISSETT CHAVEZ MURILLO's NPI record is not deactivated in the public file.
What does the directory say MISS LISSETT CHAVEZ MURILLO does?
Insurance directories may phrase it differently, but here MISS LISSETT CHAVEZ MURILLO maps to Mental Health Counselor. Clinical services aligned with this taxonomy classification.
What city is tied to MISS LISSETT CHAVEZ MURILLO?
The directory associates MISS LISSETT CHAVEZ MURILLO with Ontario, California. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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