Joshua A Acosta-Duque, LCSE

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

99455 Issued in CA

Practice address

5400 Pomona Blvd
Los Angeles, CA 90022-1717

Phone

(323) 837-2400

Fax

(323) 721-2437

NPI assigned

Feb 25, 2021

Last updated

Mar 19, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nuevo Amanecer Latino Children's Services

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  • NPI 1477105104
  NPD (past)
• Nuevo Amanecer Latino Children's Services

  • Foster Care Agency
  • San Bernardino, CA
  • NPI 1922456144
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1614211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1043804511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 N D ST",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924053913",
            "telephone_number": "909-475-8793",
            "fax_number": "909-886-4958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 POMONA BLVD",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900221717",
            "telephone_number": "323-837-2400",
            "fax_number": "323-721-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2025 N D St",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924053913",
            "country_code": "US",
            "telephone_number": "909-475-8793",
            "fax_number": "909-886-4958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1085 W Badillo St",
            "address_purpose": "LOCATION",
            "city": "Covina",
            "state": "CA",
            "postal_code": "917224112",
            "country_code": "US",
            "telephone_number": "626-332-8138",
            "fax_number": "626-332-0433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA-DUQUE",
        "first_name": "JOSHUA",
        "middle_name": "A",
        "credential": "LCSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-02-25",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "99455",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "121584",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.