Active NPI
Annalisia Atilano
- Professional Counselor
- Modesto, CA
National Provider Identifier
1154849172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 105249
- Practice address
- 1620 Cummins Dr
Modesto, CA 95358-6400 - Phone
- (209) 576-1750
- NPI assigned
- Aug 30, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | 105249 | CA | Primary |
Addresses
Primary practice location
1620 Cummins Dr
Modesto, CA 95358-6400
Mailing address
1620 Cummins Dr
Modesto, CA 95358-6400
Phone (209) 576-1750
Other practice location 1
1540 Florida Ave Ste 212
Modesto, CA 95350-4430
Phone (209) 661-8840
Other practice location 2
1400 K St
Modesto, CA 95354-1018
Phone (209) 312-9580
Other names 1
- Annalisia Delgado
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 |
|---|---|---|---|
| 105249 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1504051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1154849172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1620 CUMMINS DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586400",
"telephone_number": "209-576-1750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1620 CUMMINS DR",
"city": "MODESTO",
"state": "CA",
"postal_code": "953586400",
"telephone_number": "209-576-1750"
}
],
"practiceLocations": [
{
"address_1": "1540 Florida Ave Ste 212",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953504430",
"country_code": "US",
"telephone_number": "209-661-8840",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 K St",
"address_purpose": "LOCATION",
"city": "Modesto",
"state": "CA",
"postal_code": "953541018",
"country_code": "US",
"telephone_number": "209-312-9580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ATILANO",
"first_name": "ANNALISIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-30",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "105249",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANNALISIA",
"last_name": "DELGADO",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.