Berenice D. Acevedo, ACSW

Individual provider Active NPI Mental Health Counselor · San Jacinto, CA

NPI 1679799167 · NPPES record last updated Feb 19, 2026

Key facts

NPI: 1679799167
Entity type: Individual (NPI type 1)
Primary specialty: Mental Health Counselor 101YM0800X
License: ASW131042 (CA)
Practice address: 681 Black Cherry St
San Jacinto, CA 92582-4787
Phone: (951) 266-9191
NPI assigned: Apr 17, 2007
Sex: Female
Sole proprietor: No

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.

Equanimity Therapeutic Services Mental Health Counselor · San Jacinto, CA · NPI 1992656466

NPD (past) MENTAL HEALTH

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
ASW131042	CA	MD	Mental Health Counselor

Practice roles

Organization	Specialty	Status	New patients
Equanimity Therapeutic Services	Mental Health	Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Mental Health Counselor	101YM0800X	ASW131042	CA	Yes

Addresses

Primary practice location

681 Black Cherry St
San Jacinto, CA 92582-4787

Mailing address

83861 Ozark Dr.
Indio, CA 92203
Phone (760) 399-7097

Other providers in San Jacinto, CA

All providers in San Jacinto, CA · Mental Health Counselor in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.