Active NPI
Trennell Odesia Palacio, MA, LPCC, LPC
- Professional Counselor
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 12467
- Practice address
- 8939 S Sepulveda Blvd # 110-243
Los Angeles, CA 90045-3631 - Phone
- (877) 643-6410
- NPI assigned
- Dec 2, 2012
- Last updated
- Mar 13, 2026
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 90651 | TX | |
| Professional Counselor | 101YP2500X | CP5491-R | NV | |
| Professional Counselor | 101YP2500X | 12467 | CA | Primary |
| School Counselor | 101YS0200X | 101YS0200X | CA |
Addresses
Primary practice location
8939 S Sepulveda Blvd # 110-243
Los Angeles, CA 90045-3631
Mailing address
8939 S Sepulveda Blvd # 110-243
Los Angeles, CA 90045-3631
Phone (877) 643-6410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Other, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1533 W 113TH St
Los Angeles, CA 90047-4932
6203 San Ignacio Ave
Suite 110
San Jose, CA 95119-1371
708 Main St
FL 4
Houston, TX 77002-0001
708 Main St
FL 4
Houston, TX 77002-3208
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12467 | CA | MD | Professional Counselor |
| CP5491-R | NV | MD | Professional Counselor |
| 90651 | TX | MD | Professional Counselor |
| 101YS0200X | CA | MD | School Counselor |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Moona Health
- Mental Health Counselor
- San Francisco, CA
- NPI 1023824836
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354406400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1518202522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8939 S SEPULVEDA BLVD # 110-243",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453631",
"telephone_number": "877-643-6410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8939 S SEPULVEDA BLVD # 110-243",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900453631",
"telephone_number": "877-643-6410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIO",
"first_name": "TRENNELL",
"middle_name": "ODESIA",
"name_prefix": "Ms.",
"credential": "MA, LPCC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-02",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "90651",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NV",
"license": "CP5491-R",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "12467",
"primary": true
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": "101YS0200X",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.