Active NPI
Yadira Davila Alvarado, APCC
- Professional Counselor
- Fairfield, CA
National Provider Identifier
1508449133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APCC
- Practice address
- 2420 Martin Rd Ste 200
Fairfield, CA 94534-8610 - Phone
- (707) 428-4198
- NPI assigned
- May 2, 2021
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Professional Counselor | 101YP2500X | APCC | CA | Primary |
Addresses
Primary practice location
2420 Martin Rd Ste 200
Fairfield, CA 94534-8610
Mailing address
2420 Martin Rd Ste 200
Fairfield, CA 94534-8610
Phone (707) 428-4198
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 |
|---|---|---|---|
| APCC | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Destiny Ripley | Mental Health | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713830400000",
"number": "1508449133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2420 MARTIN RD STE 200",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945348610",
"telephone_number": "707-428-4198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2420 MARTIN RD STE 200",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945348610",
"telephone_number": "707-428-4198"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVILA ALVARADO",
"first_name": "YADIRA",
"credential": "APCC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-05-02",
"last_updated": "2024-04-23",
"certification_date": "2024-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "APCC",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.