Organization Active NPI

Viridian Impact Psychotherapy, Inc

  • Clinical Social Worker
  • Hemet, CA
National Provider Identifier
1124996319
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
VIRIDIAN IMPACT PSYCHOTHERAPY, INC
Practice address
4800 Bloomwood CT
Hemet, CA 92545-8041
Phone
(951) 254-2313
NPI assigned
Oct 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Authorized official

Name
Virginia Capello, LCSWNPI 1427557396
Title
Ceo
Phone
(949) 922-0712

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

4800 Bloomwood CT
Hemet, CA 92545-8041

Mailing address

131 Continental Dr Ste 305
Newark, DE 19713-4324

National Provider Directory

National Provider Directory

Locations

131 Continental Dr
Ste 305
Newark, DE 19713
Phone (267) 752-5585

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1761609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761609600000",
    "number": "1124996319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 CONTINENTAL DR STE 305",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 BLOOMWOOD CT",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925458041",
            "telephone_number": "951-254-2313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRIDIAN IMPACT PSYCHOTHERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-28",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A",
        "authorized_official_last_name": "CAPELLO",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-922-0712",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.