Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Vanessa Icazbalceta-Soto

Individual provider Professional Counselor · NPI 1083264519

Vanessa Icazbalceta-Soto is a Mental Health Counselor in San Diego, California. Qualified in 2014, 12 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

9265 Sky Park Ct Ste 100
San Diego, CA 92123-4375
Phone: (706) 524-7134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 201 N Brand Blvd Unit 200, Los Angeles, CA 91203 — (562) 888-0285

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 15849 (CA)

Record details

NPI number1083264519
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 17, 2019
Last updated in NPPESOctober 16, 2024
Certification dateOctober 16, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Accepts Medicare assignment Not indicated

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