Active NPI
John Cabonce
- Professional Counselor
- Pasadena, CA
National Provider Identifier
1902369762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 17771
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC8423 | CA | MD | Mental Health Counselor |
| 17771 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sandbox Family Services | Mental Health | Current | Accepting new patients |
| Step Up on Second Street Inc. | Past | 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.
-
- Community/Behavioral Health Agency
- San Bernardino, CA
- NPI 1285186353
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.