Individual provider Active NPI

Andrea T Vinton, LPCC, LPC, MHC

  • Mental Health Counselor
  • Van Nuys, CA
National Provider Identifier
1215384490
Registry record updated May 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13043 Issued in CA
Practice address
15744 Gault St
Van Nuys, CA 91406-5149
Phone
(213) 649-8092
NPI assigned
May 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTB-2023-0601 NM
Mental Health Counselor 101YM0800X C5718 OR
Mental Health Counselor 101YM0800X 13043 CA Primary
Mental Health Counselor 101YM0800X LH61408460 WA

Addresses

Primary practice location

15744 Gault St
Van Nuys, CA 91406-5149

Mailing address

15744 Gault St
Van Nuys, CA 91406-5149
Phone (213) 649-8092

Other practice location 1

4280 W Kling St
Burbank, CA 91505-3702
Phone (213) 649-8092

Other names 1

  • Andrea Renate Tomoe Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

15744 Gault St
Van Nuys, CA 91406-5149

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CTB-2023-0601NMMDMental Health Counselor
C5718ORMDMental Health Counselor
13043CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Luna Light Counseling Professional Clinical Counselor PC Mental Health CurrentSince May 25, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.andreatomoe@148835.advancedmd-direct.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1463529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748044800000",
    "number": "1215384490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15744 GAULT ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065149",
            "telephone_number": "213-649-8092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15744 GAULT ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914065149",
            "telephone_number": "213-649-8092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4280 W Kling St",
            "address_purpose": "LOCATION",
            "city": "Burbank",
            "state": "CA",
            "postal_code": "915053702",
            "country_code": "US",
            "telephone_number": "213-649-8092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VINTON",
        "first_name": "ANDREA",
        "middle_name": "T",
        "credential": "LPCC, LPC, MHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-18",
        "last_updated": "2025-05-24",
        "certification_date": "2025-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTB-2023-0601",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OR",
            "license": "C5718",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "13043",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH61408460",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "TOMOE",
            "middle_name": "RENATE",
            "credential": "ANDREA T SHARPLES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

Verify at the official NPI Registry.