Mr George Calasa, LPCC, LCPC, MBTC,NCC is a
Counselor - Mental Health based in Pine Mountain Club, California. Mr George Calasa is licensed to practice in California (license number LPCC7367) and his current practice location is
16321 Askin Dr # 6688, Pine Mountain Club, California. He can be reached at his office (for appointments etc.) via phone at
(805) 850-3057.
NPI number for Mr George Calasa is 1013369875 and his current mailing address is 16321 Askin Dr # 6688, Pine Mountain Club, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1013369875.
Healthcare Provider's Profile
| Full Name | Mr George Calasa |
|---|
| Gender | Male |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 16321 Askin Dr # 6688, Pine Mountain Club, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1013369875
- Provider Enumeration Date: 07/05/2016
- Last Update Date: 03/07/2025
Medical Identifiers
Medical identifiers for Mr George Calasa such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013369875 | NPI | - | NPPES |
| CP3180-R | Other | NV | LICENSE |
| LPCC7367 | Other | CA | CLINICAL LICENSE |
| MBTCOU-10330 | Other | ID | LICENSE |
| 1922634377 | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | MBTCOU-10330 (Idaho) | Secondary |
| 101YM0800X | Counselor - Mental Health | LPCC7367 (California) | Primary |
| 101YM0800X | Counselor - Mental Health | CP3180-R (Nevada) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr George Calasa is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr George Calasa, LPCC, LCPC, MBTC,NCC
16321 Askin Dr # 6688,
Pine Mountain Club, CA 93222-9900
Ph: (805) 850-3057 | Mr George Calasa, LPCC, LCPC, MBTC,NCC
16321 Askin Dr # 6688,
Pine Mountain Club, CA 93222-9900
Ph: (805) 850-3057 |
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