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OWEN AKENZUA LCSW
NPI 1477281194
Social Worker - Clinical in Upland, CA

Active since August 10, 2022PECOS EnrolledAccepts Medicare Assignment
954 W FOOTHILL BLVD STE A, UPLAND, CA 91786(909) 946-4222(909) 946-8243 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 28, 2025, Nov 17, 2023, Aug 10, 2022 (3 updates tracked since 2022).

About Owen Akenzua Lcsw NPPES

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

OWEN AKENZUA LCSW (NPI 1477281194) is an individual clinical provider in Upland, California, licensed in California (130217) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Fontana, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1477281194
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameOWEN AKENZUACredential: LCSW
Location Address954 W FOOTHILL BLVD STE AUpland, CA 91786-3782
Mailing Address954 W Foothill Blvd Ste AUpland, CA 91786-3782 · (909) 946-4222 · Fax (909) 946-8243
Phone(909) 946-4222
Fax(909) 946-8243
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 10, 2022
Last NPPES UpdateMay 28, 20253 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1477281194 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 · 130217
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 ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 130217 (CA)
954 W FOOTHILL BLVD STE A, Upland, CA 91786
Open in Google Maps ↗

Secondary Practice Location 1

Location 114677 Merrill AveFontana, CA 92335-4219 · Phone (951) 643-2340

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Owen Akenzua Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183137268
PECOS Enrollment IDI20250701003942
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 Reassignments

3

Medicare enrollment records show Owen Akenzua reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Foothills Psychological Services, Inc.
Same address
Psychologist
954 W FOOTHILL BLVD STE A
Upland, CA 91786
  • Reassigned Medicare billing, California enrollment
  • 76 clinicians in this Medicare group
NPI 1336121888 (909) 946-4222
Mission City Community Network, Inc.
19 mi
Primary Care
513 E LIME AVE, SUITE 103
Monrovia, CA 91016
  • Reassigned Medicare billing, California enrollment
  • 146 clinicians in this Medicare group
NPI 1063795250 (818) 895-3100
Sud Specialty Group - Ca
332 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91786 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $59.60 – $179.42
Typical copayment $0.00 (range $14.90 – $44.85)
Most-billed visit code NA
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 15

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

HYE KYUNG JEON CHASE FNP
Nurse Practitioner (Family)
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 946-4222
BHAVNA SHALU TANDON DMSC, PA-C
Physician Assistant
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 946-4222
MS. MARITZA PELAYO
Social Worker (Clinical)
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 946-4222
MS. AMY LERAE HERTER MFC
Marriage & Family Therapist
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 946-4222
KENDAL MARTINDALE MSW, ASW
Social Worker (Clinical)
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 946-4222
DR. EMILY ANN MORTON PSYD
Psychologist
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 946-4222
FOOTHILLS PSYCHOLOGICAL SERVICES, INC.
Psychologist
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 946-4222
MR. JASON NILES KUKAS PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
954 W FOOTHILL BLVD STE A
UPLAND, CA 91786
San Bernardino County (909) 846-4222

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 Owen Akenzua's NPI number?

The NPI number for Owen Akenzua is 1477281194. It was assigned to this individual provider in the NPPES registry on August 10, 2022.

Where is Owen Akenzua located?

Owen Akenzua practices at 954 W Foothill Blvd Ste A, Upland, CA 91786. The listed phone number is (909) 946-4222.

What is Owen Akenzua's specialty?

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

Is Owen Akenzua enrolled in Medicare?

Yes. Owen Akenzua is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Owen Akenzua's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Owen Akenzua reassigns Medicare benefits to 3 organizations: Foothills Psychological Services, Inc. (Upland, CA), Mission City Community Network, Inc. (Monrovia, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Owen Akenzua'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 Owen Akenzua was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.