Active NPI
Patricia Rocha Ponceano
- Mental Health Counselor
- Merced, CA
National Provider Identifier
1013261411
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMF78120
- Practice address
- 480 E 13TH St
Merced, CA 95341 - Phone
- (209) 381-6800
- NPI assigned
- Nov 7, 2012
- Sex
- Female
- Sole proprietor
- No
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 | IMF78120 | CA | Primary |
Addresses
Primary practice location
480 E 13TH St
Merced, CA 95341
Mailing address
PO Box 2087
Merced, CA 95344-0087
Phone (209) 381-6800
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF78120 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1013261411",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "MERCED",
"state": "CA",
"postal_code": "953440087",
"telephone_number": "209-381-6800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "480 E 13TH ST",
"city": "MERCED",
"state": "CA",
"postal_code": "95341",
"telephone_number": "209-381-6800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PONCEANO",
"first_name": "PATRICIA",
"middle_name": "ROCHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-11-07",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "IMF78120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
- Robin M Piwowarski, R.N.
- Plainsburg Union Elementary School District
- Planned Parenthood Mar Monte, Inc
- Andraya Diane Plascencia
- Podiatry Center of Merced a Medical Corporation
- Anna Elise Poole
- Michela Rochelle Pope
- Rommy Michelle Porras Blanco, M.D.
- Kharee Porterfield, PTA
- Patricia Portillo Novoa, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.