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

Q: 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.

Q: What is Irvin Juarez's specialty?

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

Q: 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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)