Individual provider Active NPI

Julio Cesar Deleon IV, PLMHP

  • Mental Health Counselor
  • Omaha, NE
National Provider Identifier
1134561103
Registry record updated Jul 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
9675 Issued in NE
Practice address
9212 California Plaza #308
Omaha, NE 68114
Phone
(402) 850-1734
NPI assigned
Jul 19, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 9675 NE Primary

Addresses

Primary practice location

9212 California Plaza #308
Omaha, NE 68114

Mailing address

9212 California Plaza #308
Omaha, NE 68114

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123000847 PA Practitioner - Mental Health Counselor 2567991334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Woodling CorporationGroup PAC ID 2466756283, 19 clinicians

Practice addresses (Care Compare)

2005 City Line Rd
Suite 300
Bethlehem, PA 18017-7701
Phone (610) 865-8177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9675NEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Woodling Corporation CurrentSince Jan 15, 2025 Accepting new patients
Quaker State Medical Services Co Inc PastSince Jan 15, 2025 Accepting new patients

Locations

2005 City Line Rd
Ste 300
Bethlehem, PA 18017
Phone (610) 865-8177

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1374192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374192000000",
    "number": "1134561103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 CALIFORNIA PLAZA #308",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9212 CALIFORNIA PLAZA #308",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "68114",
            "telephone_number": "402-850-1734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELEON",
        "first_name": "JULIO",
        "middle_name": "CESAR",
        "name_suffix": "IV",
        "credential": "PLMHP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-19",
        "last_updated": "2013-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NE",
            "license": "9675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.