Myrna Pacheco, MS

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1787 N Karen Ave
Clovis, CA 93619-0438

Phone

(559) 892-9284

Fax

(559) 322-6393

NPI assigned

Mar 21, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1447376405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 N KAREN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936190438",
            "telephone_number": "559-892-9284",
            "fax_number": "559-322-6393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1787 N KAREN AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936190438",
            "telephone_number": "559-892-9284",
            "fax_number": "559-322-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHECO",
        "first_name": "MYRNA",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "51131",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Otto R. Alonzo, D.D.S., Inc.
• Lilianna Oviedo Trujillo
• Ozder Dental Corporation
• Ozder Dental Corporation
• Erica Pacheco
• Pacific Stone Psychology Corporation
• Carlo Magno Arriba Paderna, D.D.S.
• Brenda Padilla
• Jesse Anthony Padilla
• Chrissi Page, NP

• Mental Health Counselor in Clovis, CA
• Providers in Clovis, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.