Vanessa Icazbalceta-Soto
Mental Health Counselor · San Diego
- Medicare standing
- Clear
- Enrolled, allowed to bill and order, not excluded
- Plans that list them
- Not verified
- Not the same as out of network.
- Offices
- 2
- Since medical school
- 12 years
- Graduated 2014
Offices
2 locations
Plan participation
Not verified
We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Vanessa Icazbalceta-Soto’s office to ask if they take your plan before you enroll.
California Medical Board record
Licence C15849 · Cancelled
Licence status: Cancelled · since 1954 · Northwestern University Medical School.
License has been voluntarily canceled, or the license has been expired for at least five years and has not been renewed. No practice is permitted.
Matched on the licence number without its letter prefix; check the name before relying on it.
No disciplinary actions, convictions, malpractice judgments or citations in this record.
Medicaid work
$6,233 in 2022
Medicaid paid $6,233 for 143 billed services this clinician did in 2022, up to 13 people in a month for one service.
Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.
| Psychotherapy, 60 minutes with patient | 45 | $4,411 |
| Telehealth originating site facility fee | 49 | $1,124 |
| Telehealth transmission, per minute, professional services bill separately | 49 | $698 |
| 2022 | 143 | 3 | 13 | $6,233 |
| 2021 | 527 | 3 | 18 | $23,620 |
See the largest Medicaid services in earlier years
2021
| Psychotherapy, 60 minutes with patient | 175 | $17,055 |
| Telehealth originating site facility fee | 176 | $4,037 |
| Telehealth transmission, per minute, professional services bill separately | 176 | $2,527 |
Professional record
- NPI
- 1083264519
- Licence
- CA 15849California C15849: Cancelled
- Gender
- Female
More record details
- Sole proprietor
- No
- Taxonomy
- Federal specialty code 101YP2500X (101YP2500X)
- Mailing address
- 201 N Brand Blvd #200, Los Angeles, CA, 91203
- NPI first listed
- 2019-09-17
- NPI last updated
- 2024-10-16
- NPI record certified
- 2024-10-16
This is when the NPI record was last certified, not a medical board exam.
Extra NPI addresses: 201 N Brand Blvd Unit 200, Los Angeles, CA, 91203