Active NPI
Roxanne Nicole Pardo
- Mental Health Counselor
- Spring Valley, CA
National Provider Identifier
1124636774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 18713
- Practice address
- 3482 Saddle Dr
Spring Valley, CA 91977-2035 - Phone
- (619) 564-9661
- NPI assigned
- Jul 20, 2020
- Last updated
- Feb 19, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18713 | Primary | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
3482 Saddle Dr
Spring Valley, CA 91977-2035
Mailing address
4950 Waring Rd Ste 4
San Diego, CA 92120-2700
Phone (619) 660-3886
Other practice location 1
545 Laurel St
San Diego, CA 92101-1634
Phone (619) 233-4399
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Research Foundation Inc | Past | Accepting new patients | |
| Center for Positive Changes | Past | Accepting new patients | |
| Center for Positive Changes Stay | Past | Accepting new patients | |
| Community Research Foundation Inc | Past | Accepting new patients |
Organizations & group practices 4
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.
-
dba Center for Positive Changes 1
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Spring Valley, CA
- NPI 1326588138
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Spring Valley, CA
- NPI 1659843118
-
dba Hawthorne Crisis Center
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1225251812
-
- Community/Behavioral Health Agency
- San Diego, CA
- NPI 1952328700
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739923200000",
"number": "1124636774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4950 WARING RD STE 4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202700",
"telephone_number": "619-660-3886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3482 SADDLE DR",
"city": "SPRING VALLEY",
"state": "CA",
"postal_code": "919772035",
"telephone_number": "619-564-9661"
}
],
"practiceLocations": [
{
"address_1": "545 Laurel St",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921011634",
"country_code": "US",
"telephone_number": "619-233-4399",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PARDO",
"first_name": "ROXANNE",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-20",
"last_updated": "2025-02-19",
"certification_date": "2025-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "18713",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Spring Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.