Active NPI
Denise H Padilla
- Mental Health Counselor
- Azusa, CA
National Provider Identifier
1821247578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 750 E 5TH St Unit 6
Azusa, CA 91702-3876 - Phone
- (415) 812-3240
- NPI assigned
- Sep 17, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
750 E 5TH St Unit 6
Azusa, CA 91702-3876
Mailing address
750 E 5TH St Unit 6
Azusa, CA 91702-3876
Phone (415) 812-3240
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Stephen M Pumphrey Licensed Clinical Social Workers Inc | Current | Accepting new patients | |
| Movement Talk Therapy, Licensed Clinical Social Worker, Inc. | Mental Health | Current | Accepting new patients |
| Darrell Broaddus Psychological Services PC | Past | Accepting new patients |
Locations
23201 Mill Creek Dr
Ste 220
Laguna Hills, CA 92653
Phone (949) 460-5320
3848 E Colorado Blvd
Ste 26
Pasadena, CA 91107
Organizations & group practices 3
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.
-
- Mental Health Counselor
- Azusa, CA
- NPI 1871163386
-
- Clinical Social Worker
- Laguna Hills, CA
- NPI 1386862969
-
- Clinical Psychologist
- Orangevale, CA
- NPI 1215339650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624838400000",
"number": "1821247578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E 5TH ST UNIT 6",
"city": "AZUSA",
"state": "CA",
"postal_code": "917023876",
"telephone_number": "415-812-3240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E 5TH ST UNIT 6",
"city": "AZUSA",
"state": "CA",
"postal_code": "917023876",
"telephone_number": "415-812-3240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PADILLA",
"first_name": "DENISE",
"middle_name": "H",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-17",
"last_updated": "2021-06-28",
"certification_date": "2021-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Azusa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.