Andrea Noelle Diemert, LMFT, LAADC, ICAADC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

130217 Issued in CA

Practice address

4125 Temescal St
Fair Oaks, CA 95628-7558

Phone

(562) 206-5444

NPI assigned

Feb 25, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Sequoia Marriage Family Counseling Inc

  dba Andrea Diemert Sequoia Counseling & Recovery

  • Mental Health Counselor
  • Fair Oaks, CA
  • NPI 1235014010

  Single Specialty

  NPD Authorized official
• Sequoia Counseling & Recovery

  • Marriage & Family Therapist
  • Fair Oaks, CA
  • NPI 1285467076

  Addiction (Substance Use Disorder)

  NPD

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

{
    "created_epoch": "1645747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645747200000",
    "number": "1396491585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9266 PASCAL CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956244633",
            "telephone_number": "562-206-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 TEMESCAL ST",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956287558",
            "telephone_number": "562-206-5444"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "510 E Magnolia St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952021850",
            "country_code": "US",
            "telephone_number": "209-938-0831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEMERT",
        "first_name": "ANDREA",
        "middle_name": "NOELLE",
        "credential": "LMFT, LAADC, ICAADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-25",
        "last_updated": "2022-02-25",
        "certification_date": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR10120122",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "130217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karanveer Singh Dhillon, DDS
• Jocelyn Diaz
• Nicholas Dibble-Ciudad
• Diana Dicker, LMFT
• Nadine Diefenbacher, MFT
• Sean-Mikael Dodenhoff, MD
• Janet Dokey
• Jacquelyn Donahue
• Caroline Robin Daniell Donham, M.A. CCC-SLP
• Downriver, PC

• Professional Counselor in Fair Oaks, CA
• Providers in Fair Oaks, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2022; 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.