PRISCILLA DE LEON L.C.S.W.
NPI 1629377247
Counselor - Mental Health in Los Angeles, CA

Active since March 22, 2011PECOS Enrolled
3915 W 64TH ST, LOS ANGELES, CA 90043(310) 280-8516 Get Directions Write a Review

NPPES record last updated: November 30, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Priscilla De Leon L.c.s.w. NPPES

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

PRISCILLA DE LEON L.C.S.W. (NPI 1629377247) is an individual mental health provider in Los Angeles, California, licensed in California (LCS26529) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629377247
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NamePRISCILLA DE LEONCredential: L.C.S.W.
Location Address3915 W 64TH STLos Angeles, CA 90043-3620
Mailing Address3915 W 64th StLos Angeles, CA 90043-3620 · (310) 280-8516
Sole ProprietorNo
Enumeration DateMarch 22, 2011
Last NPPES UpdateNovember 30, 2021
✔ NPI 1629377247 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 · LCS26529
3915 W 64TH ST, Los Angeles, CA 90043

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Priscilla De Leon L.c.s.w. 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 Priscilla De Leon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Health Maintenance Organization
3471 W CENTURY BLVD
Inglewood, CA 90303
  • Reassigned Medicare billing, California enrollment
  • 13,921 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.

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 Priscilla De Leon's NPI number?

The NPI number for Priscilla De Leon is 1629377247. It was assigned to this individual provider in the NPPES registry on March 22, 2011.

Where is Priscilla De Leon located?

Priscilla De Leon practices at 3915 W 64th St, Los Angeles, CA 90043. The listed phone number is (310) 280-8516.

What is Priscilla De Leon's specialty?

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

Is Priscilla De Leon enrolled in Medicare?

Yes. Priscilla De Leon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Priscilla De Leon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Priscilla De Leon reassigns Medicare benefits to Southern California Permanente Medical Group (Inglewood, 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 Priscilla De Leon'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 Priscilla De Leon was last updated on November 30, 2021. 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.