Individual provider Active NPI

Desiree Aiko De Pace, LMFT/APCC

  • Marriage & Family Therapist
  • Rowland Heights, CA
National Provider Identifier
1518450980
Registry record updated Feb 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
137513 Issued in CA
Practice address
PO Box 8522
Rowland Heights, CA 91748-0522
Phone
(909) 274-8317
NPI assigned
Jun 11, 2018
Reactivated
Nov 1, 2024
Last updated
Feb 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 137513 CA Primary

Addresses

Primary practice location

PO Box 8522
Rowland Heights, CA 91748-0522

Mailing address

PO Box 8522
Rowland Heights, CA 91748-0522
Phone (909) 274-8317

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250416001021 CA Practitioner - Marriage and Family Therapist 1951826544 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PC Mental Health CurrentSince Mar 7, 2025 Accepting new patients
Desiree Depace a Licensed Marriage & Family Therapist Prof Corp CurrentSince Sep 22, 2025 Accepting new patients
Community Counseling and Coaching Center Marriage & Family Therapist CurrentSince Nov 27, 2022 Accepting new patients
Sokyahealth Medical Group PC Mental Health CurrentSince May 7, 2025 Accepting new patients

Locations

2386 Faraday Ave
Ste 110
Carlsbad, CA 92008
Phone (858) 427-5060

5060 Shoreham Pl
Ste 330
San Diego, CA 92122
Phone (619) 866-0998

99 Almaden Blvd
Ste 600
San Jose, CA 95113
Phone (408) 402-4385

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Interoperability endpoints

  • Direct secure messaging: desiree.depace.p1@direct.sokya.nextgenshare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739145600000",
    "number": "1518450980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8522",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917480522",
            "telephone_number": "909-274-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 8522",
            "city": "ROWLAND HEIGHTS",
            "state": "CA",
            "postal_code": "917480522",
            "telephone_number": "909-274-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE PACE",
        "first_name": "DESIREE",
        "middle_name": "AIKO",
        "credential": "LMFT/APCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-11",
        "last_updated": "2025-02-10",
        "certification_date": "2025-02-10",
        "deactivation_date": "2024-10-14",
        "reactivation_date": "2024-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "137513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rowland Heights, CA

Sources for this page

Verify at the official NPI Registry.