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AKILA FANA BACON
NPI 1336428317
Counselor - Mental Health in Palmdale, CA

Active since August 09, 2011PECOS Enrolled
1529 E PALMDALE BLVD STE 210, PALMDALE, CA 93550(818) 523-2379 Get Directions Write a Review

NPPES record last updated: July 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 3, 2021, Jan 7, 2019, Jan 8, 2018 (3 updates tracked since 2018).

About Akila Fana Bacon NPPES

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

AKILA FANA BACON (NPI 1336428317) is an individual mental health provider in Palmdale, California, licensed in California (LMFT139465) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1336428317
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameAKILA FANA BACON
Location Address1529 E PALMDALE BLVD STE 210Palmdale, CA 93550-2029
Mailing Address6490 Explorer WayPalmdale, CA 93552-3454 · (818) 523-2379
Phone(818) 523-2379
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateAugust 9, 2011
Last NPPES UpdateJuly 2, 20233 updates tracked since enumeration
NPPES CertifiedJuly 2, 2023
✔ NPI 1336428317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Licenses✔ Licensed in CA · LMFT139465✔ Licensed in CA · IMF73718✔ Licensed in CA · AMFT110989
1529 E PALMDALE BLVD STE 210, Palmdale, CA 93550
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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)

Akila Fana Bacon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1658850615
PECOS Enrollment IDI20260210000952
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 Akila Bacon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
285 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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 20

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

VERONICA JANET FLORES
Counselor (Mental Health)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (323) 369-6745
DEBRA J WEST ACSW
Counselor (Mental Health)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9996
KATHERINE CASEY VOLTZ MA
Counselor (Mental Health)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9996
MS. LATISHA SAMPSON MSW
Social Worker (Clinical)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9996
RYAN GARRETT ROBACK M.A.
Marriage & Family Therapist
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9996
CORRADO MILITI LMFT
Marriage & Family Therapist
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (818) 993-9311
MR. ALFRED ALOYSIUS WOHLFORT MFT
Marriage & Family Therapist
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 272-9999
MRS. KAREN JOHNSEN GILMORE L.C.S,W
Social Worker (Clinical)
1529 E PALMDALE BLVD STE 210
PALMDALE, CA 93550
Los Angeles County (661) 902-1962

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 Akila Bacon's NPI number?

The NPI number for Akila Bacon is 1336428317. It was assigned to this individual provider in the NPPES registry on August 9, 2011.

Where is Akila Bacon located?

Akila Bacon practices at 1529 E Palmdale Blvd Ste 210, Palmdale, CA 93550. The listed phone number is (818) 523-2379.

What is Akila Bacon's specialty?

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

Is Akila Bacon enrolled in Medicare?

Yes. Akila Bacon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Akila Bacon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Akila Bacon 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 Akila Bacon'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 Akila Bacon was last updated on July 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.