MR. LEROY OTTO EGENBERGER MA
NPI 1922082726
Counselor - Mental Health in Modesto, CA

Active since December 05, 2005
1101 STANDIFORD AVE, SUITE B-2, MODESTO, CA 95350(209) 522-5035(209) 522-5134 Get Directions Write a Review

NPPES record last updated: November 18, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Leroy Otto Egenberger Ma NPPES

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

MR. LEROY OTTO EGENBERGER MA (NPI 1922082726) is an individual mental health provider in Modesto, California, licensed in California (MFC21358) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1922082726
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. LEROY OTTO EGENBERGERCredential: MA
Location Address1101 STANDIFORD AVE, SUITE B-2Modesto, CA 95350-0982
Mailing Address1101 Standiford Ave, Suite B-2Modesto, CA 95350-0982 · (209) 522-5035 · Fax (209) 522-5134
Fax(209) 522-5134
Sole ProprietorYes
Enumeration DateDecember 5, 2005
Last NPPES UpdateNovember 18, 2010
NPI 1922082726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in CA · MFC21358
Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License MFC21358 (CA)
1101 STANDIFORD AVE, Modesto, CA 95350

Other Identifiers 1

Other1922082726CA · Stanislaus County Behavioral Health And Recovery Services

Other Providers at the Same Location NPPES 15

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

Dermatology
1101 STANDIFORD AVE, SUITE A-3
MODESTO, CA 95350
Dentist (General Practice)
1101 STANDIFORD AVE, SUITE D-3
MODESTO, CA 95350
Dentist
1101 STANDIFORD AVE, STE D3
MODESTO, CA 95350
Marriage & Family Therapist
1101 STANDIFORD AVE, SUITE A-7
MODESTO, CA 95350
Counselor (Professional)
1101 STANDIFORD AVE, SUITE B-2
MODESTO, CA 95350
Dermatology
1101 STANDIFORD AVE, SUITE A-3
MODESTO, CA 95350
Acupuncturist
1101 STANDIFORD AVE, SUITE A-1
MODESTO, CA 95350
Counselor (Mental Health)
1101 STANDIFORD AVE, SUITE B 2
MODESTO, CA 95350

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 Leroy Egenberger's NPI number?

The NPI number for Leroy Egenberger is 1922082726. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Leroy Egenberger located?

Leroy Egenberger practices at 1101 Standiford Ave Suite B-2, Modesto, CA 95350. The listed phone number is (209) 522-5035.

What is Leroy Egenberger's specialty?

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

When was this NPI record last updated?

The NPPES record for Leroy Egenberger was last updated on November 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.