Individual provider Active NPI

Destiny Espinoza

  • Mental Health Counselor
  • Yucaipa, CA
National Provider Identifier
1609609932
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
16196 Issued in CA
Practice address
11711 Sand Canyon Rd
Yucaipa, CA 92399-1742
Phone
(909) 389-3271
NPI assigned
Aug 22, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 16196 CA Primary

Addresses

Primary practice location

11711 Sand Canyon Rd
Yucaipa, CA 92399-1742

Mailing address

17240 Olive St # 440
Hesperia, CA 92345-6099
Phone (323) 590-1567

Other practice location 1

17151 Main St Ste C
Hesperia, CA 92345-6191
Phone (760) 695-6006

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
16196CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Step Up on Second Street Inc. PastSince Aug 1, 2024 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": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1609609932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17240 OLIVE ST # 440",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456099",
            "telephone_number": "323-590-1567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11711 SAND CANYON RD",
            "city": "YUCAIPA",
            "state": "CA",
            "postal_code": "923991742",
            "telephone_number": "909-389-3271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17151 Main St Ste C",
            "address_purpose": "LOCATION",
            "city": "Hesperia",
            "state": "CA",
            "postal_code": "923456191",
            "country_code": "US",
            "telephone_number": "760-695-6006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "16196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucaipa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; 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.