Individual provider Active NPI

Stanisha York, LPCC

  • Mental Health Counselor
  • Moreno Valley, CA
National Provider Identifier
1265014542
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
17575 Issued in CA
Practice address
13800 Heacock St Ste C238
Moreno Valley, CA 92553-6268
Phone
(951) 398-6009
NPI assigned
Apr 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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 17575 CA Primary

Addresses

Primary practice location

13800 Heacock St Ste C238
Moreno Valley, CA 92553-6268

Mailing address

30141 Antelope Rd # D-666
Menifee, CA 92584-7001
Phone (909) 510-1584

Other practice location 1

30141 Antelope Rd # D-666
Menifee, CA 92584-7001
Phone (909) 510-1584

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20241009004203 CA Practitioner - Mental Health Counselor 0244762631 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Black Unicorn Wellness Solutions CurrentSince Jul 31, 2023 Accepting new patients
Grow Healthcare Group PC Mental Health CurrentSince Sep 24, 2024 Accepting new patients

Locations

30141 Antelope Rd
#D666
Menifee, CA 92584
Phone (909) 510-1584

13800 Heacock St
Ste C238
Moreno Valley, CA 92553
Phone (951) 398-6009

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

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": "1619395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1265014542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30141 ANTELOPE RD # D-666",
            "city": "MENIFEE",
            "state": "CA",
            "postal_code": "925847001",
            "telephone_number": "909-510-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13800 HEACOCK ST STE C238",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925536268",
            "telephone_number": "951-398-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30141 Antelope Rd # D-666",
            "address_purpose": "LOCATION",
            "city": "Menifee",
            "state": "CA",
            "postal_code": "925847001",
            "country_code": "US",
            "telephone_number": "909-510-1584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "STANISHA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-26",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "17575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.