Active NPI
Patrina Georgiamarie Thompson Steptoe
- Mental Health Counselor
- Riverside, CA
National Provider Identifier
1013103035
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 3050 Chicago Ave
Suite 180
Riverside, CA 92507-3418 - Phone
- (951) 686-8500
- Fax
- (951) 686-8565
- NPI assigned
- Sep 24, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
3050 Chicago Ave
Suite 180
Riverside, CA 92507-3418
Mailing address
24197 Dressin Dr
Moreno Valley, CA 92553-5106
Phone (951) 486-0072
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1013103035",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24197 DRESSIN DR",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925535106",
"telephone_number": "951-486-0072",
"fax_number": "951-486-0072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3050 CHICAGO AVE",
"address_2": "SUITE 180",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925073418",
"telephone_number": "951-686-8500",
"fax_number": "951-686-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON STEPTOE",
"first_name": "PATRINA",
"middle_name": "GEORGIAMARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.