Active NPI
Adrianna Marie Vermilion, MFT
- Marriage & Family Therapist
- Riverside, CA
National Provider Identifier
1396883013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC40200
- Practice address
- 2900 Adams St Ste A350
Riverside, CA 92504-8303 - Phone
- (626) 695-5495
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC40200 | CA | Primary |
Addresses
Primary practice location
2900 Adams St Ste A350
Riverside, CA 92504-8303
Mailing address
PO Box 1295
Chino Hills, CA 91709-0044
Phone (626) 695-5495
Other practice location 1
2900 Adams St Ste C170
Riverside, CA 92504-4349
Phone (626) 695-5495
Other names 1
- Adrianna Marie Stefanko
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
| License | State | Type | Specialty |
|---|---|---|---|
| MFC40200 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guiding Light Home for Boys, Inc. | Current | Accepting new patients | |
| Guiding Light Home for Boys, Inc. | Current | Accepting new patients |
Organizations & group practices 2
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.
-
dba Guiding Light Home for Boys, Inc. STRTP
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Moreno Valley, CA
- NPI 1346867041
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Moreno Valley, CA
- NPI 1447788195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1396883013",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1295",
"city": "CHINO HILLS",
"state": "CA",
"postal_code": "917090044",
"telephone_number": "626-695-5495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 ADAMS ST STE A350",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925048303",
"telephone_number": "626-695-5495"
}
],
"practiceLocations": [
{
"address_1": "2900 Adams St Ste C170",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925044349",
"country_code": "US",
"telephone_number": "626-695-5495",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VERMILION",
"first_name": "ADRIANNA",
"middle_name": "MARIE",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC40200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADRIANNA",
"last_name": "STEFANKO",
"middle_name": "MARIE",
"credential": "MFT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.