Individual provider Active NPI

Ayanna Denee Forks

  • Professional Counselor
  • Dublin, CA
National Provider Identifier
1285086942
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
21968 Issued in CA
Practice address
5325 Broder Blvd
Dublin, CA 94568-3309
Phone
(408) 220-5145
NPI assigned
Jul 6, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X CA
Professional Counselor 101YP2500X 21968 CA Primary

Addresses

Primary practice location

5325 Broder Blvd
Dublin, CA 94568-3309

Mailing address

5325 Broder Blvd
Dublin, CA 94568-3309

Other practice location 1

3727 Marconi Ave
Sacramento, CA 95821
Phone (408) 220-5145

Other practice location 2

3727 Marconi Ave Apt 11
Sacramento, CA 95821-5303
Phone (408) 220-5145

Other practice location 3

505 M St
Rio Linda, CA 95673-2218
Phone (916) 364-8395

Other practice location 4

3727 Marconi Ave
Sacramento, CA 95821
Phone (408) 220-5145

Other practice location 5

3727 Marconi Ave
Sacramento, CA 95821-5303
Phone (408) 220-5145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
21968CAMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Turning Point Community Programs 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.

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1285086942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 BRODER BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 BRODER BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945683309",
            "telephone_number": "408-220-5145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3727 Marconi Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95821",
            "country_code": "US",
            "telephone_number": "408-220-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3727 Marconi Ave Apt 11",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215303",
            "country_code": "US",
            "telephone_number": "408-220-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 M St",
            "address_purpose": "LOCATION",
            "city": "Rio Linda",
            "state": "CA",
            "postal_code": "956732218",
            "country_code": "US",
            "telephone_number": "916-364-8395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3727 Marconi Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "95821",
            "country_code": "US",
            "telephone_number": "408-220-5145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3727 Marconi Ave",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958215303",
            "country_code": "US",
            "telephone_number": "408-220-5145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FORKS",
        "first_name": "AYANNA",
        "middle_name": "DENEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-06",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "21968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.