Individual provider Active NPI

Jorge Leonard Delao

  • Mental Health Counselor
  • Santa Paula, CA
National Provider Identifier
1982496717
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MFC377740 Issued in CA
Practice address
10475 Sulphur Cascade Rd
Santa Paula, CA 93060-9569
Phone
(805) 515-9944
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X MFC377740 NU
Mental Health Counselor 101YM0800X MFC377740 CA Primary

Addresses

Primary practice location

10475 Sulphur Cascade Rd
Santa Paula, CA 93060-9569

Mailing address

PO Box 106
Santa Paula, CA 93061-0106
Phone (805) 515-9944

Other practice location 1

10475 Sulphur Cascade Rd
Santa Paula, CA 93060-9569
Phone (805) 515-9944

Other practice location 2

PO Box 106
Santa Paula, CA 93061-0106
Phone (805) 515-9944

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2024 through Jan 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
MFC377740CAMDMental Health Counselor

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1982496717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930610106",
            "telephone_number": "805-515-9944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10475 SULPHUR CASCADE RD",
            "city": "SANTA PAULA",
            "state": "CA",
            "postal_code": "930609569",
            "telephone_number": "805-515-9944"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10475 Sulphur Cascade Rd",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930609569",
            "country_code": "US",
            "telephone_number": "805-515-9944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "PO Box 106",
            "address_purpose": "LOCATION",
            "city": "Santa Paula",
            "state": "CA",
            "postal_code": "930610106",
            "country_code": "US",
            "telephone_number": "805-515-9944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAO",
        "first_name": "JORGE",
        "middle_name": "LEONARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": "MFC377740",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "MFC377740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Paula, CA

Sources for this page

Verify at the official NPI Registry.