Active NPI
Danette Elaine Wilkerson, MA, NCC
- Mental Health Counselor
- Pasadena, CA
National Provider Identifier
1003617168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 17463
- Practice address
- 595 E Colorado Blvd Ste 635
Pasadena, CA 91101-2032 - Phone
- (310) 895-5692
- NPI assigned
- Mar 24, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 17463 | CA | Primary |
Addresses
Primary practice location
595 E Colorado Blvd Ste 635
Pasadena, CA 91101-2032
Mailing address
595 E Colorado Blvd Ste 635
Pasadena, CA 91101-2032
Phone (310) 895-5692
Other practice location 1
1711 Lordsburg Ct
LA Verne, CA 91750-5682
Phone (310) 895-5692
Other names 1
- Dannete Elaine Wilkerson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17463 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1003617168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD STE 635",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012032",
"telephone_number": "310-895-5692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "595 E COLORADO BLVD STE 635",
"city": "PASADENA",
"state": "CA",
"postal_code": "911012032",
"telephone_number": "310-895-5692"
}
],
"practiceLocations": [
{
"address_1": "1711 Lordsburg Ct",
"address_purpose": "LOCATION",
"city": "LA Verne",
"state": "CA",
"postal_code": "917505682",
"country_code": "US",
"telephone_number": "310-895-5692",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WILKERSON",
"first_name": "DANETTE",
"middle_name": "ELAINE",
"credential": "MA, NCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "17463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANNETE",
"last_name": "WILKERSON",
"middle_name": "ELAINE",
"credential": "MA, NCC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.