Individual provider Active NPI

John Cabonce

  • Professional Counselor
  • Pasadena, CA
National Provider Identifier
1902369762
Registry record updated Nov 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
17771 Issued in CA
Practice address
595 E Colorado Blvd Ste 433
Pasadena, CA 91101-2057
Phone
(626) 206-3139
NPI assigned
Apr 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X APCC8423 CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Professional Counselor 101YP2500X 17771 CA Primary

Addresses

Primary practice location

595 E Colorado Blvd Ste 433
Pasadena, CA 91101-2057

Mailing address

595 E Colorado Blvd Ste 433
Pasadena, CA 91101-2057

Other practice location 1

600 N Arrowhead Ave
San Bernardino, CA 92401-1164
Phone (909) 963-5355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250205002857 CA Practitioner - Mental Health Counselor 1759811722 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APCC8423CAMDMental Health Counselor
17771CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sandbox Family Services Mental Health CurrentSince Dec 16, 2024 Accepting new patients
Step Up on Second Street Inc. PastSince Jul 1, 2022 Accepting new patients

Locations

595 E Colorado Blvd
Ste 433
Pasadena, CA 91101
Phone (626) 206-3139

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": "1554768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1902369762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 433",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 E COLORADO BLVD STE 433",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911012057",
            "telephone_number": "626-206-3139"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 N Arrowhead Ave",
            "address_purpose": "LOCATION",
            "city": "San Bernardino",
            "state": "CA",
            "postal_code": "924011164",
            "country_code": "US",
            "telephone_number": "909-963-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CABONCE",
        "first_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-09",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "APCC8423",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "17771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.