Lizbet Betancio
Individual provider Active NPI Mental Health Counselor · Highland, CA
NPI 1801606264 · NPPES record last updated Jan 8, 2025
Key facts
- NPI
- 1801606264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 150248 (CA)
- Practice address
- 26297 Baseline St SPC 2
Highland, CA 92346-2833 - Phone
- (951) 858-5326
- NPI assigned
- Jan 8, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| 150248 | CA | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 17941 | ||
| Mental Health Counselor | 101YM0800X | 150248 | CA | Yes |
Addresses
Primary practice location
26297 Baseline St SPC 2
Highland, CA 92346-2833
Mailing address
26297 Baseline St SPC 2
Highland, CA 92346-2833
Phone (951) 858-5326
Other providers in Highland, CA
- Beaver Medical Group, LP
- Claudia Virginia Becerra
- Brian Beitel
- John Beld
- Marian N.B. Beshara
- Xiomara Betanco
- Jo Devenne Elek Sullano Bilbao
- Amanda Ann Blanton
- Judy F. Blodgett
- Catherine Bodman
All providers in Highland, 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 Jan 8, 2025. 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.