STACEY MEDINA PELAYO NPI 1396215836

NPI Information

  • NPI: 1396215836
  • Provider Name: STACEY MEDINA PELAYO
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 901 W VICTORIA ST STE F&G
    COMPTON, CA
    ZIP 90220
  • Phone: (310) 669-9510

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NPI Details

Stacey Medina Pelayo is a mental health counselor in Compton, CA. Stacey Medina Pelayo NPI is 1396215836. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

901 W VICTORIA ST STE F&G
COMPTON, CA
ZIP 90220-807
Phone: (310) 669-9510

The enumeration date for this NPI number is 11/27/2018 and was last updated on 6/30/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorNo
21041C0700XSocial WorkerClinical116139CALIFORNIANo
3225400000XRehabilitation PractitionerNo
4390200000XStudent in an Organized Health Care Education/Training ProgramNo
5101YM0800XCounselorMental Health116139CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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