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: July 19, 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 18

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

Chiropractor
1101 STANDIFORD AVE, STE A6
MODESTO, CA 95350
Marriage & Family Therapist
1101 STANDIFORD AVE, SUITE A-7
MODESTO, CA 95350
Dentist
1101 STANDIFORD AVE, STE D3
MODESTO, CA 95350
Social Worker (Clinical)
1101 STANDIFORD AVE, SUITE B4
MODESTO, CA 95350
Counselor (Professional)
1101 STANDIFORD AVE, SUITE B-2
MODESTO, CA 95350
Marriage & Family Therapist
1101 STANDIFORD AVE, B-2
MODESTO, CA 95350
Dentist (General Practice)
1101 STANDIFORD AVE, SUITE D-3
MODESTO, CA 95350
Dermatology
1101 STANDIFORD AVE, SUITE A-3
MODESTO, CA 95350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1922082726, enumerated as an "individual" on December 05, 2005.

The provider is located at 1101 STANDIFORD AVE SUITE B-2 MODESTO, CA 95350 and the phone number is (209) 522-5035.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.