Victoria Hope Agawa

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

3180 Crow Canyon PL Ste 140
San Ramon, CA 94583-1339

Phone

(925) 820-1467

NPI assigned

Mar 20, 2024

Sex

Female

Sole proprietor

No

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.

• Community Presbyterian Counseling Center

  • Community/Behavioral Health Agency
  • San Ramon, CA
  • NPI 1710049044
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

• Tori Agawa Other name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 20, 2024.

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1306606983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 CROW CANYON PL STE 140",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831339",
            "telephone_number": "925-820-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3180 CROW CANYON PL STE 140",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831339",
            "telephone_number": "925-820-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGAWA",
        "first_name": "VICTORIA",
        "middle_name": "HOPE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TORI",
            "last_name": "AGAWA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• All providers in San Ramon, CA
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.