Active NPI
Amalia Vradenburg
- Professional Counselor
- Greenfield, CA
National Provider Identifier
1467298554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 16940
- Practice address
- 215 Huerta Ave
Greenfield, CA 93927-5762 - Phone
- (831) 674-2180
- NPI assigned
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 16940 | CA | Primary |
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
215 Huerta Ave
Greenfield, CA 93927-5762
Mailing address
18225 Hale Ave
Morgan Hill, CA 95037-3547
Other practice location 1
18217 Hale Ave
Morgan Hill, CA 95037-3550
Phone (408) 465-8280
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 |
|---|---|---|---|
| 16940 | CA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720569600000",
"number": "1467298554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18225 HALE AVE",
"city": "MORGAN HILL",
"state": "CA",
"postal_code": "950373547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "215 HUERTA AVE",
"city": "GREENFIELD",
"state": "CA",
"postal_code": "939275762",
"telephone_number": "831-674-2180"
}
],
"practiceLocations": [
{
"address_1": "18217 Hale Ave",
"address_purpose": "LOCATION",
"city": "Morgan Hill",
"state": "CA",
"postal_code": "950373550",
"country_code": "US",
"telephone_number": "408-465-8280",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VRADENBURG",
"first_name": "AMALIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-08",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "16940",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.