Active NPI
Darcy Aviles, LPCC
- Mental Health Counselor
- Palm Desert, CA
National Provider Identifier
1972048767
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 11028
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11028 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Home Health Agency
- Palm Desert, CA
- NPI 1922932888
-
- Community/Behavioral Health Agency
- Palm Desert, CA
- NPI 1669176566
-
- Local Education Agency (LEA)
- Palm Springs, CA
- NPI 1578815460
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.