Look up the most recent NPI and PECOS records

Estefania Trevino

Marriage & Family Therapist

Behavioral Health & Social Service Providers

39830 Portola Ave, Palm Desert, CA 92260-0623

PECOS Enrollment

Based on the most recent information from CMS, provider Estefania Trevino does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 5 days ago.

Profile Details

Provider ID
1568153823
Provider Type
Individual
Full Name
Trevino, Estefania
Gender
Female

Sole Proprietor
Yes
Enumeration Date
5/17/2023
Last Updated
5/29/2024

Contact Information

Practice Location

39830 Portola Ave, Palm Desert, CA 92260-0623

(951) 686-8500

Unlisted Fax

Mailing Location

39830 Portola Ave, Palm Desert, CA 92260-0623

(951) 686-8500

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 106H00000X Primary	Description Marriage & Family Therapist Behavioral Health & Social Service Providers	License 147071 California
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Estefania Trevino

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Jeandron, Gary

Gallo-Velasquez, Jessica Elizeth

Grotsky, Kelly

Gimbel, Anne E

Misuraca, Matthew Donald

Dale, Kathleen

Gaunt, Jane Elise

Homet, Katharine Theresa

Snow, Erin

Dubeau, Kimberley Ann