OrganizationActive
Life and Therapy LLC
NPI 1700511722 · Counselor · El Centro, CA
Provider details
- NPI number
- 1700511722
- Entity type
- Organization
- Primary specialty
- CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Joanna Baez, Owner(310) 351-9092
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1503 S 22nd St
El Centro, CA 92243-9403
Phone: (310) 351-9092
Street-level locationGet directions
Mailing address
1503 S 22nd St
El Centro, CA 92243-9403
Registry dates
- Enumerated
- 2022-07-22
- Last updated
- 2022-07-22
- Certified
- 2022-07-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.