Active NPI
Celeste Medina
- Mental Health Counselor
- Pomona, CA
National Provider Identifier
1619525508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 801 Corporate Center Dr Ste 202
Pomona, CA 91768-2628 - Phone
- (909) 766-7060
- NPI assigned
- Sep 3, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
801 Corporate Center Dr Ste 202
Pomona, CA 91768-2628
Mailing address
3353 White Cloud Dr
Hacienda Heights, CA 91745-6316
Other practice location 1
10155 Colima Rd
Whittier, CA 90603-2042
Phone (562) 692-0383
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victor Treatment Centers, Inc. | Past | Accepting new patients | |
| Rosemary Children'S Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Pomona, CA
- NPI 1376993998
-
- Community/Behavioral Health Agency
- Pomona, CA
- NPI 1861981847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620345600000",
"number": "1619525508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3353 WHITE CLOUD DR",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917456316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 CORPORATE CENTER DR STE 202",
"city": "POMONA",
"state": "CA",
"postal_code": "917682628",
"telephone_number": "909-766-7060"
}
],
"practiceLocations": [
{
"address_1": "10155 Colima Rd",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "906032042",
"country_code": "US",
"telephone_number": "562-692-0383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MEDINA",
"first_name": "CELESTE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-03",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.