Active NPI
Wendy J Rolon
- Mental Health Counselor
- Oakland, CA
National Provider Identifier
1023692423
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 517 1/2 62ND St
Oakland, CA 94609-1209 - Phone
- (510) 384-7407
- NPI assigned
- May 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
517 1/2 62ND St
Oakland, CA 94609-1209
Mailing address
517 1/2 62ND St
Oakland, CA 94609-1209
Phone (510) 384-7407
Other practice location 1
986 Moraga Rd
Lafayette, CA 94549-4423
Phone (925) 954-6229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 25, 2024 through Jan 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therathrive Counseling, Assessment, and Wellness Centers, a Profession | Mental Health | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Professional Counselor
- Lafayette, CA
- NPI 1760993562
Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620691200000",
"number": "1023692423",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "517 1/2 62ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091209",
"telephone_number": "510-384-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "517 1/2 62ND ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946091209",
"telephone_number": "510-384-7407"
}
],
"practiceLocations": [
{
"address_1": "986 Moraga Rd",
"address_purpose": "LOCATION",
"city": "Lafayette",
"state": "CA",
"postal_code": "945494423",
"country_code": "US",
"telephone_number": "925-954-6229",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROLON",
"first_name": "WENDY",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-11",
"last_updated": "2021-05-11",
"certification_date": "2021-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.