Dianalucy Eneriz-Champion

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

19040 Soledad Canyon Rd Ste 260
Santa Clarita, CA 91351-3363

Phone

(661) 505-8415

NPI assigned

Apr 28, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dianalucy Eneriz-Rebolledo Former name

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Psychological Behavioral Health Inc

  • Psychiatric/Mental Health Nurse Practitioner
  • Ventura, CA
  • NPI 1154954303
  Medicare reassignment NPD
• Aspira Foster & Family Services - Ventura

  • Community/Behavioral Health Agency
  • Camarillo, CA
  • NPI 1215071899
  NPD (past)

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1447637517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3402 HIGHWOOD CT APT 165",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "930635382",
            "telephone_number": "818-590-0449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19040 SOLEDAD CANYON RD STE 260",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913513363",
            "telephone_number": "661-505-8415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENERIZ-CHAMPION",
        "first_name": "DIANALUCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2023-08-25",
        "certification_date": "2021-07-14",
        "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": "ASPIRANET",
            "identifier": "56CC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANALUCY",
            "last_name": "ENERIZ-REBOLLEDO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makenna Kai Emerick
• Lisa Marie Emmons, RPH
• Empathy Care Home Health Inc
• Megan Empero
• Bence Endresz
• Eparthenos
• Rosanna O Erickson, NURSE PRACTITIONER
• Erika Behnke, Marriage & Family Therapy Inc.
• Kristen Escalera, L.A.C
• Adriana Gemina Escamilla, MFT INTERN

• Mental Health Counselor in Santa Clarita, CA
• Providers in Santa Clarita, 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 Aug 25, 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.