Active NPI
Debra J West, ACSW
- Mental Health Counselor
- Palmdale, CA
National Provider Identifier
1124538210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ACSW103911
- Practice address
- 1529 E Palmdale Blvd Ste 210
Palmdale, CA 93550-2029 - Phone
- (661) 272-9996
- NPI assigned
- Oct 3, 2017
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Mental Health Counselor | 101YM0800X | 227570 | CA | |
| Rehabilitation Practitioner | 225400000X | |||
| Mental Health Counselor | 101YM0800X | ACSW103911 | CA | Primary |
Addresses
Primary practice location
1529 E Palmdale Blvd Ste 210
Palmdale, CA 93550-2029
Mailing address
44226 10TH St W
Lancaster, CA 93534-4134
Phone (661) 942-4719
Other practice location 1
43909 30th St W
Lancaster, CA 93536-5843
Phone (661) 952-5000
Other practice location 2
43520 Division St
Lancaster, CA 93535-4089
Phone (612) 664-7836
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95-2633765 | Other | CA | MEDI-CAL |
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 |
|---|---|---|---|
| 227570 | CA | MD | Mental Health Counselor |
| ACSW103911 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All for Kids Organization | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Palmdale, CA
- NPI 1609902436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1124538210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44226 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344134",
"telephone_number": "661-942-4719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1529 E PALMDALE BLVD STE 210",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935502029",
"telephone_number": "661-272-9996"
}
],
"practiceLocations": [
{
"address_1": "43909 30th St W",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935365843",
"country_code": "US",
"telephone_number": "661-952-5000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "43520 Division St",
"address_purpose": "LOCATION",
"city": "Lancaster",
"state": "CA",
"postal_code": "935354089",
"country_code": "US",
"telephone_number": "612-664-7836",
"fax_number": "661-266-1210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WEST",
"first_name": "DEBRA",
"middle_name": "J",
"credential": "ACSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"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": "227570",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ACSW103911",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDI-CAL",
"identifier": "95-2633765",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.