Active NPI
Arianna Passaro
- Mental Health Counselor
- Sebastopol, CA
National Provider Identifier
1538544952
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 855 Midpine Way
Sebastopol, CA 95472-5518 - Phone
- (831) 251-2636
- NPI assigned
- Jul 27, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
855 Midpine Way
Sebastopol, CA 95472-5518
Mailing address
855 Midpine Way
Sebastopol, CA 95472-5518
Phone (831) 251-2636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250604000877 | CA | Order and Referring Only - Marriage and Family Therapist | 7618486317 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1588809600000",
"number": "1538544952",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 MIDPINE WAY",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954725518",
"telephone_number": "831-251-2636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 MIDPINE WAY",
"city": "SEBASTOPOL",
"state": "CA",
"postal_code": "954725518",
"telephone_number": "831-251-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSARO",
"first_name": "ARIANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-07-27",
"last_updated": "2020-05-07",
"certification_date": "2020-05-07",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebastopol, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.