Active NPI
Nicole Stevenson Barab, ASW
- Mental Health Counselor
- El Monte, CA
National Provider Identifier
1306202031
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW65978
- Practice address
- 10428 Lower Azusa
Pacific Clinics
El Monte, CA 91780 - Phone
- (626) 453-3399
- NPI assigned
- Jan 11, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ASW65978 | CA | Primary |
Addresses
Primary practice location
10428 Lower Azusa
Pacific Clinics
El Monte, CA 91780
Mailing address
1551 Echo Park Avenue
Apt 312
Los Angeles, CA 90026
Phone (301) 787-7626
Other names 1
- Ms. Nicole Stevenson Barab
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 |
|---|---|---|---|
| ASW65978 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Clinics | Past | Accepting new patients |
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.
-
- Community/Behavioral Health Agency
- Ontario, CA
- NPI 1902273923
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452470400000",
"number": "1306202031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1551 ECHO PARK AVENUE",
"address_2": "APT 312",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "90026",
"telephone_number": "301-787-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10428 LOWER AZUSA",
"address_2": "PACIFIC CLINICS",
"city": "EL MONTE",
"state": "CA",
"postal_code": "91780",
"telephone_number": "626-453-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARAB",
"first_name": "NICOLE",
"middle_name": "STEVENSON",
"name_prefix": "Ms.",
"credential": "ASW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-01-11",
"last_updated": "2016-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW65978",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "BARAB",
"middle_name": "STEVENSON",
"prefix": "MS.",
"credential": "ASW",
"code": "5",
"type": "Other Name"
}
]
}Other providers in El Monte, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.