Individual provider Active NPI

Mandy Maria Rhodd, SUDRC

  • Addiction (Substance Use Disorder) Counselor
  • Vallejo, CA
National Provider Identifier
1538049267
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
101YAO400X Issued in CA
Practice address
1149 Warren Ave
Vallejo, CA 94591-7512
Phone
(707) 552-5295
Fax
(707) 507-6595
NPI assigned
Sep 4, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YA0400X 101YAO400X CA Primary

Addresses

Primary practice location

1149 Warren Ave
Vallejo, CA 94591-7512

Mailing address

2525 Flosden Rd SPC 116
American Canyon, CA 94503-3036
Phone (707) 552-5295

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

LicenseStateTypeSpecialty
101YAO400XCAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis House Addiction (Substance Use Disorder) CurrentSince Sep 8, 2025 Accepting new patients
Genesis House, Inc PastSince Sep 8, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1756944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1538049267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 FLOSDEN RD SPC 116",
            "city": "AMERICAN CANYON",
            "state": "CA",
            "postal_code": "945033036",
            "telephone_number": "707-552-5295",
            "fax_number": "707-507-6595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 WARREN AVE",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945917512",
            "telephone_number": "707-552-5295",
            "fax_number": "707-507-6595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RHODD",
        "first_name": "MANDY",
        "middle_name": "MARIA",
        "credential": "SUDRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-09-04",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "101YAO400X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; 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.