Individual provider Active NPI

Aires Adalim

  • Mental Health Counselor
  • Sacramento, CA
National Provider Identifier
1003549007
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
140840 Issued in CA
Practice address
2617 K Street Suite 125
Sacramento, CA 95816-5116
Phone
(916) 633-0854
NPI assigned
Jul 6, 2022
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 140840 CA Primary

Addresses

Primary practice location

2617 K Street Suite 125
Sacramento, CA 95816-5116

Mailing address

2617 K Street Suite 125
Sacramento, CA 95816-5116
Phone (916) 633-0854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
140840CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Amanda Gibson, LCSW CurrentSince Apr 20, 2025 Accepting new patients

Locations

2617 K St
Ste 125
Sacramento, CA 95816
Phone (916) 238-8796

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1657065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1003549007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2617 K STREET SUITE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165116",
            "telephone_number": "916-633-0854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2617 K STREET SUITE 125",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165116",
            "telephone_number": "916-633-0854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADALIM",
        "first_name": "AIRES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-06",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "140840",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.