Individual provider Active NPI

Ferial Assefnia

  • Mental Health Counselor
  • Santa Rosa, CA
National Provider Identifier
1295603967
Registry record updated Oct 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LCSW29153 Issued in CA
Practice address
1605 Neotomas Ave
Santa Rosa, CA 95405-7560
Phone
(707) 483-5696
NPI assigned
Oct 25, 2025
Last updated
Oct 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LCSW29153 CA Primary

Addresses

Primary practice location

1605 Neotomas Ave
Santa Rosa, CA 95405-7560

Mailing address

1605 Neotomas Ave
Santa Rosa, CA 95405-7560
Phone (707) 483-5696

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
LCSW29153CAMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1761350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761350400000",
    "number": "1295603967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 NEOTOMAS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057560",
            "telephone_number": "707-483-5696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 NEOTOMAS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954057560",
            "telephone_number": "707-483-5696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASSEFNIA",
        "first_name": "FERIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-25",
        "last_updated": "2025-10-25",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "LCSW29153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.