Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

STANISHA YORK LPCC
NPI 1265014542
Counselor - Mental Health in Moreno Valley, CA

Active since April 26, 2021PECOS Enrolled
13800 HEACOCK ST STE C238, MORENO VALLEY, CA 92553(951) 398-6009 Get Directions Write a Review

NPPES record last updated: October 23, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 5, 2026, Oct 5, 2024, Jul 27, 2023 and 1 more (4 updates tracked since 2021).

About Stanisha York Lpcc NPPES

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

STANISHA YORK LPCC (NPI 1265014542) is an individual mental health provider in Moreno Valley, California, licensed in California (17575) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Menifee.

NPPES Registry Identity

NPI1265014542
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSTANISHA YORKCredential: LPCC
Location Address13800 HEACOCK ST STE C238Moreno Valley, CA 92553-6268
Mailing Address30141 Antelope Rd # D-666Menifee, CA 92584-7001 · (909) 510-1584
Sole ProprietorYes
Enumeration DateApril 26, 2021
Last NPPES UpdateOctober 23, 20264 updates tracked since enumeration
NPPES CertifiedOctober 23, 2026
✔ NPI 1265014542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 17575
13800 HEACOCK ST STE C238, Moreno Valley, CA 92553

Secondary Practice Location 1

Location 130141 Antelope Rd # D-666Menifee, CA 92584-7001 · Phone (909) 510-1584

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stanisha York Lpcc 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 Stanisha York reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
13800 HEACOCK ST STE C238
MORENO VALLEY, CA 92553
Clinic/Center (Mental Health (Including Community Mental Health Center))
13800 HEACOCK ST STE C238
MORENO VALLEY, CA 92553

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 Stanisha York's NPI number?

The NPI number for Stanisha York is 1265014542. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Stanisha York located?

Stanisha York practices at 13800 Heacock St Ste C238, Moreno Valley, CA 92553. The listed phone number is (951) 398-6009.

What is Stanisha York's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Stanisha York enrolled in Medicare?

Yes. Stanisha York is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Stanisha York's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stanisha York reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Stanisha York'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 Stanisha York was last updated on October 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.