Ana Karina Rios-Damacio, LPCC 10911

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPCC10911 Issued in CA

Practice address

12390 Golden State Blvd
Madera, CA 93637-9156

Phone

(559) 660-4606

NPI assigned

Feb 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Poverello House

  • Professional Counselor
  • Fresno, CA
  • NPI 1144809161
  NPD
• Comprehensive Addiction Programs Inc

  • Substance Abuse Rehabilitation Facility
  • Fresno, CA
  • NPI 1720221443
  NPD (past)

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

{
    "created_epoch": "1424995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728259200000",
    "number": "1619369642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6083 N FIGARDEN DR # 635",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223226",
            "telephone_number": "559-341-9470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12390 GOLDEN STATE BLVD",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936379156",
            "telephone_number": "559-660-4606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "412 F St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937063409",
            "country_code": "US",
            "telephone_number": "559-559-4986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS-DAMACIO",
        "first_name": "ANA",
        "middle_name": "KARINA",
        "credential": "LPCC 10911",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-27",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "LPCC10911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerrilynn Gene Rice, M.D, MPH
• Nicole Michelle Rider
• Rides on Liens LLC (Rol)
• Tara Rikabi, PHARMD
• Judith Ann Riley, MFC
• Judith Hernandez Rios
• Brianna Modesta Rivas
• Leticia Rivas
• Nicole Marie Rivera, PHARM.D., BCPS
• Octavio Daniel Rivera

• Professional Counselor in Madera, CA
• Providers in Madera, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.