Organization Active NPI

Sunlit Grove Counseling, a Professional Corporation of Andrew

  • Clinical Social Worker
  • San Diego, CA
National Provider Identifier
1215814447
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SUNLIT GROVE COUNSELING, A PROFESSIONAL CORPORATION OF ANDREW
Practice address
5252 Balboa Ave Ste 502
San Diego, CA 92117-7015
Phone
(619) 324-9226
NPI assigned
Aug 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Authorized official

Name
Andrew David Listvinsky, LCSWNPI 1669920013
Title
Chief Executive Officer
Phone
(619) 324-9226

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

5252 Balboa Ave Ste 502
San Diego, CA 92117-7015

Mailing address

5252 Balboa Ave Ste 502
San Diego, CA 92117-7015
Phone (619) 324-9226

National Provider Directory

National Provider Directory

Locations

5252 Balboa Ave
Ste 502
San Diego, CA 92117
Phone (619) 296-6810

5252 Balboa Ave
Ste 407
San Diego, CA 92117
Phone (619) 324-9226

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": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780531200000",
    "number": "1215814447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 502",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921177015",
            "telephone_number": "619-324-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 BALBOA AVE STE 502",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921177015",
            "telephone_number": "619-324-9226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNLIT GROVE COUNSELING, A PROFESSIONAL CORPORATION OF ANDREW",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A",
        "authorized_official_last_name": "LISTVINSKY",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "619-324-9226",
        "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 San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.