Shakti Giulietta Madrigal-Pingol, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

94539 Issued in CA

Practice address

100 E St Ste 318
Santa Rosa, CA 95404-4607

Phone

(707) 318-0375

NPI assigned

Jan 2, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Giulietta Madrigal-Pingol Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1420156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644537600000",
    "number": "1497143242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4573",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949554573",
            "telephone_number": "707-318-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E ST STE 318",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954044607",
            "telephone_number": "707-318-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADRIGAL-PINGOL",
        "first_name": "SHAKTI",
        "middle_name": "GIULIETTA",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-02",
        "last_updated": "2022-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "94539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "2240 Mercury Wy",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "95407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GIULIETTA",
            "last_name": "MADRIGAL-PINGOL",
            "credential": "MA, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Deborah Madansky, M.D.
• Christina Dawn Madden, CADCI, CAODC
• Kendall Madden, M.D.
• Nancy Maddox
• Mary Maddux-Gonzalez
• Diane Madrigal, CAODC-A, M-RAS, CCDS
• Maria Del Carmen Madrigal
• Carol Madriz Guzman
• Antonio Madriz
• Annalise Madsen

• Marriage & Family Therapist in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.