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IRVIN OMAR JUAREZ
NPI 1528711280
Counselor - Mental Health in Colton, CA

Active since February 01, 2022PECOS EnrolledAccepts Medicare Assignment
851 S MOUNT VERNON AVE STE 7A, COLTON, CA 92324(760) 241-6044 Get Directions Write a Review

NPPES record last updated: February 1, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Irvin Omar Juarez NPPES

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

IRVIN OMAR JUAREZ (NPI 1528711280) is an individual mental health provider in Colton, California, licensed in California (130893) and active in the NPI registry since February 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1528711280
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameIRVIN OMAR JUAREZ
Location Address851 S MOUNT VERNON AVE STE 7AColton, CA 92324-3926
Mailing Address15675 Paine StFontana, CA 92336-8744 · (909) 279-5888
Phone(760) 241-6044
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 1, 2022
NPPES CertifiedFebruary 1, 2022
✔ NPI 1528711280 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in CA · 130893
Also ListedCounselorTaxonomy 101Y00000X · License 130893 (CA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 130893 (CA)
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 130893 (CA)
851 S MOUNT VERNON AVE STE 7A, Colton, CA 92324
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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 and accepts Medicare assignment

Irvin Omar Juarez 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 ID6507388642
PECOS Enrollment IDI20250319000374
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 Irvin Juarez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Weber Counseling Services A Licensed Clinical Social Worker Pr
18 mi
Clinical
765 N MAIN ST STE 127
Corona, CA 92878
  • Reassigned Medicare billing, California enrollment
  • 7 clinicians in this Medicare group
NPI 1316608482 (951) 751-9636

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 7

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

DR. CLARENCE CARL WILSON DBH, LPCC
Counselor (Mental Health)
851 S MOUNT VERNON AVE STE 7A
COLTON, CA 92324
San Bernardino County (760) 241-6044
HENRY EGBUZIEM LMFT
Marriage & Family Therapist
851 S MOUNT VERNON AVE STE 7A
COLTON, CA 92324
San Bernardino County (760) 241-6044
COVENANT COUNSELING
Community/Behavioral Health
851 S MOUNT VERNON AVE STE 7A
COLTON, CA 92324
San Bernardino County (760) 241-6044
MRS. SIENNA LOUISE AMBROSE LMFT
Marriage & Family Therapist
851 S MOUNT VERNON AVE STE 7A
COLTON, CA 92324
San Bernardino County (760) 241-6044
XIAOMENG DING AMFT
Counselor (Mental Health)
851 S MOUNT VERNON AVE STE 7A
COLTON, CA 92324
San Bernardino County (760) 241-6044
MAC HOPE MEDICAL AND MENTAL HEALTH CLINIC INC
Preventive Medicine (Clinical Informatics)
851 S MOUNT VERNON AVE STE 7A
COLTON, CA 92324
San Bernardino County (760) 241-6044
CARLEON CHRISTOS WILSON
Counselor (Professional)
851 S MOUNT VERNON AVE STE 7A
COLTON, CA 92324
San Bernardino County (760) 241-6044

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 Irvin Juarez's NPI number?

The NPI number for Irvin Juarez is 1528711280. It was assigned to this individual provider in the NPPES registry on February 1, 2022.

Where is Irvin Juarez located?

Irvin Juarez practices at 851 S Mount Vernon Ave Ste 7A, Colton, CA 92324. The listed phone number is (760) 241-6044.

What is Irvin Juarez's specialty?

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

Is Irvin Juarez enrolled in Medicare?

Yes. Irvin Juarez 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 organization bills Medicare for Irvin Juarez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Irvin Juarez reassigns Medicare benefits to Weber Counseling Services A Licensed Clinical Social Worker Pr (Corona, 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 Irvin Juarez'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 Irvin Juarez was last updated on February 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.