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PETRA BETANCOURT
NPI 1194900027
Social Worker - Clinical in Mission Hills, CA

Active since January 09, 2008PECOS Enrolled
11565 LAUREL CANYON BLVD., SUITE #116, MISSION HILLS, CA 91430(818) 361-5030(818) 361-1764 Get Directions Write a Review

NPPES record last updated: December 3, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Petra Betancourt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PETRA BETANCOURT (NPI 1194900027) is an individual clinical provider in Mission Hills, California, licensed in California (84544) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194900027
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NamePETRA BETANCOURT
Location Address11565 LAUREL CANYON BLVD., SUITE #116Mission Hills, CA 91430
Mailing Address4117 Mclaughlin Ave Apt 2Los Angeles, CA 90066-5447 · (310) 869-2482
Phone(818) 361-5030
Fax(818) 361-1764
Sole ProprietorYes
Enumeration DateJanuary 9, 2008
Last NPPES UpdateDecember 3, 2018
✔ NPI 1194900027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 84544
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Also ListedRehabilitation PractitionerTaxonomy 225400000X
11565 LAUREL CANYON BLVD., Mission Hills, CA 91430
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Petra Betancourt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Petra Betancourt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Central Neighborhood Health Foundation
21 mi
Community Health
2707 S CENTRAL AVENUE
Los Angeles, CA 90011
  • Reassigned Medicare billing, California enrollment
  • 9 clinicians in this Medicare group
NPI 1639336803 (323) 234-5000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Petra Betancourt's NPI number?

The NPI number for Petra Betancourt is 1194900027. It was assigned to this individual provider in the NPPES registry on January 9, 2008.

Where is Petra Betancourt located?

Petra Betancourt practices at 11565 Laurel Canyon Blvd. Suite #116, Mission Hills, CA 91430. The listed phone number is (818) 361-5030.

What is Petra Betancourt's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Petra Betancourt enrolled in Medicare?

Yes. Petra Betancourt is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Petra Betancourt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Petra Betancourt reassigns Medicare benefits to Central Neighborhood Health Foundation (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Petra Betancourt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Petra Betancourt was last updated on December 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.