Active NPI
Debra Lee Consiglio, PSY.D.
- Mental Health Counselor
- El Monte, CA
National Provider Identifier
1336474097
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 11001 Valley Mall
Suite 300
El Monte, CA 91731-2620 - Phone
- (626) 442-0710
- NPI assigned
- Oct 13, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
11001 Valley Mall
Suite 300
El Monte, CA 91731-2620
Mailing address
1675 Carbon Canyon Rd
Chino Hills, CA 91709-2342
Phone (714) 792-2825
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ICAN874 | Other | CA | LA COUNTY DMH |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1550 Bayside Dr
Suite 14
Corona del Mar, CA 92625-1711
Phone (909) 536-5984
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albion Medical Partners of California West P C | Current | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
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.
-
- Internal Medicine Physician
- Cerritos, CA
- NPI 1073110607
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255392000000",
"number": "1336474097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1675 CARBON CANYON RD",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917092342",
"telephone_number": "714-792-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11001 VALLEY MALL",
"address_2": "SUITE 300",
"city": "EL MONTE",
"state": "CA",
"postal_code": "917312620",
"telephone_number": "626-442-0710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONSIGLIO",
"first_name": "DEBRA",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "PSY.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-13",
"last_updated": "2009-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA COUNTY DMH",
"identifier": "ICAN874",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Oct 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.