IndividualActive
Derricketa Palacio
NPI 1043853039 · Addiction (Substance Use Disorder) Counselor · Los Angeles, CA
Provider details
- NPI number
- 1043853039
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5715 S Broadway
Los Angeles, CA 90037-4131
Phone: (323) 948-0444
Street-level locationGet directions
Mailing address
5715 S Broadway
Los Angeles, CA 90037-4131
Additional practice locations (1)
- 16314 Cornuta AveBellflower, CA 90706-4814Phone: (562) 923-4545
Registry dates
- Enumerated
- 2019-10-22
- Last updated
- 2023-03-17
- Certified
- 2023-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.