Angela Gundolff, LMFT, CATC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

RI-G0609211044 Issued in CA

Practice address

101 Cirby Hills Dr
Roseville, CA 95678-4360

Phone

(916) 787-8885

NPI assigned

Jun 12, 2007

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Restore and Renew Counseling Services LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, AL
  • NPI 1447916903
  NPD Authorized official
• Koinonia Foster Homes, Inc

  dba Koinonia Treatment Clinic

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Loomis, CA
  • NPI 1770787020
  NPD (past)
• Koinonia Foster Homes, Inc.

  dba Koinonia Homes for Teens

  • Foster Care Agency
  • Loomis, CA
  • NPI 1780184846
  NPD (past)

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

{
    "created_epoch": "1181606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467656769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5512 GROUSE CT",
            "city": "LOOMIS",
            "state": "CA",
            "postal_code": "956509278",
            "telephone_number": "916-792-9444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CIRBY HILLS DR",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956784360",
            "telephone_number": "916-787-8885"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5980 Webb Street",
            "address_purpose": "LOCATION",
            "city": "Loomis",
            "state": "CA",
            "postal_code": "95650",
            "country_code": "US",
            "telephone_number": "916-652-0171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUNDOLFF",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "LMFT, CATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-12",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "RI-G0609211044",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT51191",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isaiah Guirao
• Paul Guisande
• Rolf N Gulbrandson, M.D.
• Megan Gulley, PHARMD
• Stephanie Gump
• Taylor McKensey Gunn, AU.D.
• Alicia S Gunness, SUDRC
• Monik Gupta, MD
• Justin Charles Guptil
• Gurkamal Sandhu DDS, Inc.

• Addiction (Substance Use Disorder) Counselor in Roseville, CA
• Providers in Roseville, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.