Individual provider Active NPI

Anastasha Deleon Lee, LPCC, NCC

  • Professional Counselor
  • Sacramento, CA
National Provider Identifier
1477925014
Registry record updated Aug 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3589 Issued in CA
Practice address
8401 Jackson Rd
Sacramento, CA 95826-3904
Phone
(916) 453-1482
Fax
(916) 453-1425
NPI assigned
Oct 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3589 CA Primary

Addresses

Primary practice location

8401 Jackson Rd
Sacramento, CA 95826-3904

Mailing address

8401 Jackson Rd
Sacramento, CA 95826-3904
Phone (916) 453-1482

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

LicenseStateTypeSpecialty
3589CAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Saint John'S Program for Real Change 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.

NPI Registry JSON

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

{
    "created_epoch": "1445472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1477925014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 JACKSON RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263904",
            "telephone_number": "916-453-1482",
            "fax_number": "916-453-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 JACKSON RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958263904",
            "telephone_number": "916-453-1482",
            "fax_number": "916-453-1425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEE",
        "first_name": "ANASTASHA",
        "middle_name": "DELEON",
        "name_prefix": "Mrs.",
        "credential": "LPCC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-22",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "3589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.