Active NPI
Thalia Escobedo
- Mental Health Counselor
- Pomona, CA
National Provider Identifier
1932875689
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW102269
- Practice address
- 831 E Arrow Hwy
Pomona, CA 91767-2535 - Phone
- (909) 398-4383
- NPI assigned
- Aug 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 | ASW102269 | CA | Primary |
Addresses
Primary practice location
831 E Arrow Hwy
Pomona, CA 91767-2535
Mailing address
831 E Arrow Hwy
Pomona, CA 91767-2535
Phone (909) 398-4383
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW102269 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1932875689",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672535",
"telephone_number": "909-398-4383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 E ARROW HWY",
"city": "POMONA",
"state": "CA",
"postal_code": "917672535",
"telephone_number": "909-398-4383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBEDO",
"first_name": "THALIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW102269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pomona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.