Active NPI
Demetria Iacocca, LAADC, CADCII
- Mental Health Counselor
- Gilroy, CA
National Provider Identifier
1073630513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 8352 Church St
Gilroy, CA 95020-4449 - Phone
- (408) 843-9524
- NPI assigned
- Mar 22, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
8352 Church St
Gilroy, CA 95020-4449
Mailing address
110 Village LN
Morgan Hill, CA 95037-5653
Other names 1
- Demetria Zappacosta-Iacocca
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": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313366400000",
"number": "1073630513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 VILLAGE LN",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950375653"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8352 CHURCH ST",
"city": "GILROY",
"state": "CA",
"postal_code": "950204449",
"telephone_number": "408-843-9524"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IACOCCA",
"first_name": "DEMETRIA",
"credential": "LAADC, CADCII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-22",
"last_updated": "2011-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DEMETRIA",
"last_name": "ZAPPACOSTA-IACOCCA",
"credential": "LAADC, CADCII",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilroy, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.