Individual provider Active NPI

Imelda Donato

  • Professional Counselor
  • Stockton, CA
National Provider Identifier
1194278085
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10174 Issued in CA
Practice address
3108 W Hammer LN Ste B
Stockton, CA 95209-2752
Phone
(209) 440-0143
NPI assigned
Jul 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 10174 CA Primary

Addresses

Primary practice location

3108 W Hammer LN Ste B
Stockton, CA 95209-2752

Mailing address

PO Box 693133
Stockton, CA 95269-3133
Phone (209) 440-0143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10174CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
La Paz Counseling & Therapy Services CurrentSince Apr 6, 2025 Accepting new patients

Locations

3108 W Hammer Ln
Ste B
Stockton, CA 95209
Phone (209) 440-0143

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.

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1194278085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 693133",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952693133",
            "telephone_number": "209-440-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 W HAMMER LN STE B",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952092752",
            "telephone_number": "209-440-0143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONATO",
        "first_name": "IMELDA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-27",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

Verify at the official NPI Registry.