Active NPI
Celeste Marie Dimilla, MS
- Mental Health Counselor
- Fallbrook, CA
National Provider Identifier
1982804845
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MFC 48382
- Practice address
- 120 W Hawthorne St
Fallbrook, CA 92028-2053 - Phone
- (760) 731-3235
- Fax
- (760) 731-4950
- NPI assigned
- Jul 19, 2007
- 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 | MFC 48382 | CA | Primary |
Addresses
Primary practice location
120 W Hawthorne St
Fallbrook, CA 92028-2053
Mailing address
120 W Hawthorne St
Fallbrook, CA 92028-2053
Phone (760) 731-3235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48382 | Other | CA | MFC LICENSE |
Other names 1
- Celeste Marie Ames
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 48382 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1982804845",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 W HAWTHORNE ST",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920282053",
"telephone_number": "760-731-3235",
"fax_number": "760-731-4950"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 W HAWTHORNE ST",
"city": "FALLBROOK",
"state": "CA",
"postal_code": "920282053",
"telephone_number": "760-731-3235",
"fax_number": "760-731-4950"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMILLA",
"first_name": "CELESTE",
"middle_name": "MARIE",
"credential": "MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "MFC 48382",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MFC LICENSE",
"identifier": "48382",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CELESTE",
"last_name": "AMES",
"middle_name": "MARIE",
"credential": "MS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fallbrook, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.