Roxanne Nicole Pardo
Individual provider Active NPI Mental Health Counselor · Spring Valley, CA
NPI 1124636774 · NPPES record last updated Feb 19, 2025
Key facts
- NPI
- 1124636774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 18713
- Practice address
- 3482 Saddle Dr
Spring Valley, CA 91977-2035 - Phone
- (619) 564-9661
- NPI assigned
- Jul 20, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Positive Changes Stay | Past |
Accepting new patients | |
| Community Research Foundation Inc | Past |
Accepting new patients | |
| Center for Positive Changes | Past |
Accepting new patients | |
| Community Research Foundation Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 18713 | Yes | |
| 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
Other providers in Spring Valley, CA
- Melanie Ortega
- Libeth Osborne
- Andrea Padilla
- Michelle Lynn Page
- Michael Ryan Pankey
- Denise Lynette Parnell
- Jesica Pastrana
- Marissa A Pastrana
- Priyanka Pathak
- Adrienne Pelkey
All providers in Spring Valley, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.