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ILEANA GALLEGOS
NPI 1699225565
Counselor - Mental Health in Rancho Cucamonga, CA

Active since October 04, 2016PECOS EnrolledAccepts Medicare Assignment
9500 HAVEN AVE STE 100, RANCHO CUCAMONGA, CA 91730(909) 980-6700 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2021, Mar 19, 2019, Dec 11, 2018 (3 updates tracked since 2018).

About Ileana Gallegos NPPES

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

ILEANA GALLEGOS (NPI 1699225565) is an individual mental health provider in Rancho Cucamonga, California, licensed in California (LCSW99167) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, maintains a secondary practice location in West Covina, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699225565
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameILEANA GALLEGOS
Location Address9500 HAVEN AVE STE 100Rancho Cucamonga, CA 91730
Mailing Address9500 Haven Ave Ste 100Rancho Cucamonga, CA 91730-5871
Phone(909) 980-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 4, 2016
Last NPPES UpdateJanuary 20, 20213 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2021
✔ NPI 1699225565 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 · LCSW99167
9500 HAVEN AVE STE 100, Rancho Cucamonga, CA 91730
Open in Google Maps ↗

Secondary Practice Location 1

Location 11509 W Cameron Ave Ste 230West Covina, CA 91790-2725 · Phone (626) 993-3000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Ileana Gallegos 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 ID5395119226
PECOS Enrollment IDI20230316000709
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

2

Medicare enrollment records show Ileana Gallegos reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sud Specialty Group - Ca
337 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
Talkspace Provider Network Ca PC
2,417 mi
Mental Health (Including Community Mental Health Center)
2578 BROADWAY # 607
New York, NY 10025
  • Reassigned Medicare billing, California enrollment
  • 97 clinicians in this Medicare group
NPI 1003506866 (212) 284-7206

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.

PRISILA ESTER REYES
Rehabilitation Practitioner
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (877) 527-7227
BRITTANY JASMINE YOUNG
Rehabilitation Practitioner
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (949) 420-5967
RUTH CORNILS
Rehabilitation Practitioner
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
MISS AMANDA BRIZUELA
Counselor
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
FERNANDA LIZETH OLAIZ FLORES
Rehabilitation Practitioner
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (877) 527-7227
VANESSA ANJELICA NAVARRO MS
Counselor (Professional)
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
CRISTI A HERNANDEZ
Case Manager/Care Coordinator
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700
JORDYN MARIE COCHRAN
Social Worker
9500 HAVEN AVE STE 100
RANCHO CUCAMONGA, CA 91730
San Bernardino County (909) 980-6700

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 Ileana Gallegos's NPI number?

The NPI number for Ileana Gallegos is 1699225565. It was assigned to this individual provider in the NPPES registry on October 4, 2016.

Where is Ileana Gallegos located?

Ileana Gallegos practices at 9500 Haven Ave Ste 100, Rancho Cucamonga, CA 91730. The listed phone number is (909) 980-6700.

What is Ileana Gallegos's specialty?

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

Is Ileana Gallegos enrolled in Medicare?

Yes. Ileana Gallegos 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 Ileana Gallegos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ileana Gallegos reassigns Medicare benefits to 2 organizations: Sud Specialty Group - Ca (Santa Clara, CA) and Talkspace Provider Network Ca PC (New York, NY). 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 Ileana Gallegos's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ileana Gallegos accept?

Health plans from Blue Cross and Blue Shield of Texas list Ileana Gallegos as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ileana Gallegos was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.