Organization Active NPI

Desiree Depace a Licensed Marriage & Family Therapist Prof Corp

Doing business as A Therapist Near Me

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Diamond Bar, CA
National Provider Identifier
1568260263
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DESIREE DEPACE A LICENSED MARRIAGE & FAMILY THERAPIST PROF CORP
Doing business as
A Therapist Near Me
The Therapist Near Me
Practice address
22700 Beaverhead Dr
Diamond Bar, CA 91765-1510
Phone
(909) 274-8317
NPI assigned
Mar 6, 2025
Last updated
Mar 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Authorized official

Name
Desiree De Pace, M.S., LMFTNPI 1518450980
Title
President
Phone
(909) 274-8317

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

22700 Beaverhead Dr
Diamond Bar, CA 91765-1510

Mailing address

22700 Beaverhead Dr
Diamond Bar, CA 91765-1510
Phone (909) 274-8317

Other names 2

  • A Therapist Near Me Doing business as
  • The Therapist Near Me Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251027002319 CA Part B Supplier - Clinic/Group Practice 9335638808 Receives reassigned benefits from 1 practitioner
Practice locations: Diamond Bar, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1741219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741219200000",
    "number": "1568260263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22700 BEAVERHEAD DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651510",
            "telephone_number": "909-274-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22700 BEAVERHEAD DR",
            "city": "DIAMOND BAR",
            "state": "CA",
            "postal_code": "917651510",
            "telephone_number": "909-274-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESIREE DEPACE A LICENSED MARRIAGE & FAMILY THERAPIST PROF CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A",
        "authorized_official_last_name": "DE PACE",
        "authorized_official_first_name": "DESIREE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-274-8317",
        "authorized_official_credential": "M.S., LMFT"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Therapist Near Me",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The Therapist Near Me",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Diamond Bar, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.