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MS. PATRICIA DIANE BALLESTEROS LMFT
NPI 1790058352
Marriage & Family Therapist in Stockton, CA

Active since February 13, 2012PECOS Enrolled
1212 N CALIFORNIA ST, STOCKTON, CA 95202(209) 468-8660 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Patricia Diane Ballesteros Lmft NPPES

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

MS. PATRICIA DIANE BALLESTEROS LMFT (NPI 1790058352) is an individual marriage & family therapist in Stockton, California, licensed in California (108455) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790058352
Entity TypeIndividualFemale
Primary Taxonomy106H00000X
Provider Legal NameMS. PATRICIA DIANE BALLESTEROSCredential: LMFT
Location Address1212 N CALIFORNIA STStockton, CA 95202-1552
Mailing Address1212 N California StStockton, CA 95202-1552 · (209) 468-8660
Phone(209) 468-8660
Sole ProprietorNo
Enumeration DateFebruary 13, 2012
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedJanuary 8, 2024
✔ NPI 1790058352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
License✔ Licensed in CA · 108455
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License LMFT108455 (CA)
1212 N CALIFORNIA ST, Stockton, CA 95202
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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 (PECOS)

Ms. Patricia Diane Ballesteros Lmft 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 Patricia Ballesteros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

San Joaquin County Behavioral Health Services
Same address
Mental Health (Including Community Mental Health Center)
1212 N CALIFORNIA ST
Stockton, CA 95202
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: County Of San Joaquin
  • 195 clinicians in this Medicare group
NPI 1043426869 (209) 468-8700

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.

SAN JOAQUIN COUNTY BEHAVIORAL HEALTH SERVICES
Clinic/Center (Mental Health (Including Community Mental Health Center))
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8700
PENNY GIBBONS BURKE RPH
Pharmacist
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8711
DOLORIS MOODY
Case Manager/Care Coordinator
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
MS. DELIA ORDAZ RN
Registered Nurse
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-3760
DONNA L BICKHAM ACSW
Social Worker (Clinical)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 953-7313
MR. KENNETH RAY COCIO
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8660
ANDREA MICHELLE HERNANDEZ
Counselor (Mental Health)
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-8686
SAMMY VILLAMAR ARRIOLA
Community Health Worker
1212 N CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 468-0102

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 Patricia Ballesteros's NPI number?

The NPI number for Patricia Ballesteros is 1790058352. It was assigned to this individual provider in the NPPES registry on February 13, 2012.

Where is Patricia Ballesteros located?

Patricia Ballesteros practices at 1212 N California St, Stockton, CA 95202. The listed phone number is (209) 468-8660.

What is Patricia Ballesteros's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Patricia Ballesteros enrolled in Medicare?

Yes. Patricia Ballesteros is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Patricia Ballesteros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Ballesteros reassigns Medicare benefits to San Joaquin County Behavioral Health Services (Stockton, 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 Patricia Ballesteros'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 Patricia Ballesteros was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.