Individual provider Active NPI

Darcy Aviles, LPCC

  • Mental Health Counselor
  • Palm Desert, CA
National Provider Identifier
1972048767
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
11028 Issued in CA
Practice address
78000 Fred Waring Dr Ste 102
Palm Desert, CA 92211-9266
Phone
(760) 308-2600
Fax
(760) 772-1515
NPI assigned
Jan 3, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3559 CA
Mental Health Counselor 101YM0800X 11028 CA Primary

Addresses

Primary practice location

78000 Fred Waring Dr Ste 102
Palm Desert, CA 92211-9266

Mailing address

PO Box 12062
Palm Desert, CA 92255-2062
Phone (760) 308-2600

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
11028CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Mind by Design Wellness Center, Inc Current Accepting new patients
Ivy Healthcare, Inc. Current Accepting new patients
Palm Springs Unified School District Past Accepting new patients

Locations

78000 Fred Waring Dr
Ste 102
Palm Desert, CA 92211
Phone (760) 308-2600

Organizations & group practices 3

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": "1483401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1972048767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12062",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922552062",
            "telephone_number": "760-308-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78000 FRED WARING DR STE 102",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922119266",
            "telephone_number": "760-308-2600",
            "fax_number": "760-772-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVILES",
        "first_name": "DARCY",
        "credential": "LPCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-03",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "3559",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "11028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.