Mi Paz Counseling Kenny and Leslie Gallegos LCSW PC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

MI PAZ COUNSELING KENNY AND LESLIE GALLEGOS LCSW PC

Practice address

11799 Sebastian Way Ste 103
Rancho Cucamonga, CA 91730-0708

Phone

(909) 810-7209

NPI assigned

Aug 3, 2023

Organization subpart

No

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

Authorized official

Name

Leslie Romero-Gallegos, LCSWNPI 1437603685

Title

Licensed Clinical Social Worker

Phone

(909) 810-7209

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Leslie Romero-Gallegos

  • Clinical Social Worker
  • Riverside, CA
  • NPI 1437603685
  NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1437831948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11799 SEBASTIAN WAY STE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11799 SEBASTIAN WAY STE 103",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300708",
            "telephone_number": "909-810-7209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MI PAZ COUNSELING KENNY AND LESLIE GALLEGOS LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "ROMERO-GALLEGOS",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "909-810-7209",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sage Meyer
• Diane Meza
• Eduardo Meza
• Graciela Angelina Meza
• Joanna Meza, PT
• Mia Velarde
• Michael Andrews (Rancho Spine and Sport)
• Michael Azer, D.M.D., Inc.
• Michael B Phillips (Ontario Prosthetic Systems)
• Michael J Kim DPM PC (Grace Foot and Ankle Center)

• Adult Mental Health Clinic/Center in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Adult Mental Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.