Individual provider Active NPI

Claudia Paola Asencio Pimentel, LPCC

  • Professional Counselor
  • Chula Vista, CA
National Provider Identifier
1881350940
Registry record updated Dec 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
10719 Issued in CA
Practice address
450 4TH Ave
Chula Vista, CA 91910-4426
Phone
(619) 658-1305
NPI assigned
Nov 12, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 10719 CA
Professional Counselor 101YP2500X 10719 CA Primary

Addresses

Primary practice location

450 4TH Ave
Chula Vista, CA 91910-4426

Mailing address

12126 Darkwood Rd
San Diego, CA 92129-3748

Other practice location 1

409 Camino Del Rio S Ste 201
San Diego, CA 92108-3505
Phone (619) 346-4020

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

State licenses

LicenseStateTypeSpecialty
10719CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
The Neuron Clinic GP Current Accepting new patients
Telecare Corporation PastSince Oct 10, 2021 Accepting new patients

Locations

450 Fourth Ave
Chula Vista, CA 91910
Phone (619) 420-0540

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24703/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1636675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735344000000",
    "number": "1881350940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12126 DARKWOOD RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921293748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 4TH AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919104426",
            "telephone_number": "619-658-1305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 Camino Del Rio S Ste 201",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083505",
            "country_code": "US",
            "telephone_number": "619-346-4020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASENCIO PIMENTEL",
        "first_name": "CLAUDIA",
        "middle_name": "PAOLA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-12",
        "last_updated": "2024-12-28",
        "certification_date": "2024-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "10719",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "10719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.