Individual provider Active NPI

Adrienne Arrigoni Vincenti

  • Mental Health Counselor
  • Santa Rosa, CA
National Provider Identifier
1619688777
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
1128 Edwards Ave
Santa Rosa, CA 95401-8801
Phone
(650) 576-1325
NPI assigned
Dec 9, 2022
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

1128 Edwards Ave
Santa Rosa, CA 95401-8801

Mailing address

PO Box 3506
Santa Rosa, CA 95402-3506
Phone (707) 303-8428

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL ywcasc.org YWCA Sonoma County

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ywca Sonoma County CurrentSince Dec 13, 2022 Accepting new patients

Locations

1128 Edwards Ave
Santa Rosa, CA 95401
Phone (650) 576-1325

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1619688777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3506",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954023506",
            "telephone_number": "707-303-8428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1128 EDWARDS AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954018801",
            "telephone_number": "650-576-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINCENTI",
        "first_name": "ADRIENNE",
        "middle_name": "ARRIGONI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "ywcasc.org",
            "affiliation": "Y",
            "affiliationName": "YWCA Sonoma County",
            "address_1": "1128 Edwards Ave",
            "city": "Santa Rosa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "954018801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.