Individual provider Active NPI

Michelle Danae Aquino, LCSW

  • Mental Health Counselor
  • Porterville, CA
National Provider Identifier
1578046884
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
127754 Issued in CA
Practice address
247 W Grand Ave
Porterville, CA 93257-2271
Phone
(559) 310-7454
NPI assigned
Sep 12, 2018
Last updated
May 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 127754 CA Primary
Mental Health Counselor 101YM0800X

Addresses

Primary practice location

247 W Grand Ave
Porterville, CA 93257-2271

Mailing address

247 W Grand Ave
Porterville, CA 93257-2271
Phone (559) 310-7454

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
I20250925004670 CA Practitioner - Clinical Social Worker 3072018472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Achievements Unlimited Clinical Psychology Services, Inc.Group PAC ID 0840662573, 12 clinicians

Practice addresses (Care Compare)

512 N Court St
Visalia, CA 93291-4913
Phone (559) 754-3011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
127754CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achievements Unlimited Clinical Psychology Services, Inc. CurrentSince Aug 1, 2025 Accepting new patients
Mindcure, Inc PastSince Aug 1, 2023 Accepting new patients

Locations

106 Pollasky Ave
Ste D
Clovis, CA 93612
Phone (559) 203-3775

180 W Bullard Ave
Ste 102
Clovis, CA 93612
Phone (559) 203-3050

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.

NPI Registry JSON

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

{
    "created_epoch": "1536710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1578046884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 W GRAND AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932572271",
            "telephone_number": "559-310-7454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 W GRAND AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932572271",
            "telephone_number": "559-310-7454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AQUINO",
        "first_name": "MICHELLE",
        "middle_name": "DANAE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-12",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "127754",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.