Divinity Star is a Pasadena, California based counselor with 8 years of experience in Mental Health Counselor. She completed her graduation from Other in 2017. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Divinity Star is 104320 for Social Worker in California. Her current practice location is 2650 E Foothill Blvd, Pasadena. Patients can book an appointment with her at 626-577-2261.
Divinity Star is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Divinity Star speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Divinity Star
Specialization:
Mental Health Counselor
Gender:
Female
Credentials:
LCSW
Experience:
8+ years
Medical School Attended:
Other
Graduation Year:
2017
Accepts Medicare Assignment:
Yes
Practice Address:
2650 E Foothill Blvd, Pasadena, California, 91107-3439
Phone:
626-577-2261
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971996737
Enrollment ID:
I20220131002564
NPI Number:
1124501697
NPI Enumeration Date:
11 Sep, 2018
NPI Last Update On:
04 Oct, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Divinity Star are as mentioned below.
License Number
Specialization
State
Status
104320
Social Worker
California
Primary
80527
Mental Health Counselor
California
Secondary
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Divinity Star is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Providence Facey Medical Foundation (3173436276)
532
Medicare Quality Reporting:
Medicare Quality Reporting consists of various programs like PQRS, EHR, MHI etc.
PQRS
She does not participate in the Physician Quality Reporting System Incentive Program.
EHR
She does not participate in the Electronic Health Record Incentive Program.
MHI
She does not participate in the Million Hearts Initiative Program.
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
2650 E Foothill Blvd, Pasadena, California
Zip:
91107-3439
Patients can reach Divinity Star at 2650 E Foothill Blvd, Pasadena, California or can call to book an appointment on 626-577-2261. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.