Active NPI
Andrea T Vinton, LPCC, LPC, MHC
- Mental Health Counselor
- Van Nuys, CA
National Provider Identifier
1215384490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 13043
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| CTB-2023-0601 | NM | MD | Mental Health Counselor |
| C5718 | OR | MD | Mental Health Counselor |
| 13043 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Luna Light Counseling Professional Clinical Counselor PC | Mental Health | Current | Accepting new patients |
Interoperability endpoints
- 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.
-
- Mental Health Counselor
- Van Nuys, CA
- NPI 1841083748
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.