Individual provider Active NPI

Anthony Joseph Wines Delgado, MSW

  • Mental Health Counselor
  • Santa Ana, CA
National Provider Identifier
1962533703
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW25119 Issued in CA
Practice address
2900 S Harbor Blvd
Santa Ana, CA 92704-6418
Phone
(949) 919-0826
NPI assigned
Mar 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW25119 CA Primary

Addresses

Primary practice location

2900 S Harbor Blvd
Santa Ana, CA 92704-6418

Mailing address

2900 S Harbor Blvd
Santa Ana, CA 92704-6418
Phone (949) 613-1309

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

State licenses

LicenseStateTypeSpecialty
LCSW25119CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Valor Recovery Center of Youngstown LLC Past Accepting new patients
Valor Recovery Center of Youngstown LLC Past Accepting new patients
Midwest Detox Center LLC Past Accepting new patients
Midwest Recovery Center LLC Past Accepting new patients
Midwest Detox Center LLC Past Accepting new patients
Midwest Recovery Center LLC Past Accepting new patients

Organizations & group practices 6

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": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1962533703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046418",
            "telephone_number": "949-613-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 S HARBOR BLVD",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927046418",
            "telephone_number": "949-919-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINES DELGADO",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW25119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.