Lindsay Sivillo
Individual provider Active NPI Professional Counselor · Sacramento, CA
NPI 1639764939 · NPPES record last updated Apr 21, 2021
Key facts
- NPI
- 1639764939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Professional Counselor 101YP2500X
- License
- APCC8841 (CA)
- Practice address
- 3800 Watt Ave Ste 110
Sacramento, CA 95821-2622 - Phone
- (916) 344-0249
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APCC8841 | CA | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | CA | ||
| Professional Counselor | 101YP2500X | APCC8841 | CA | Yes |
Addresses
Primary practice location
3800 Watt Ave Ste 110
Sacramento, CA 95821-2622
Mailing address
3800 Watt Ave Ste 110
Sacramento, CA 95821-2622
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All providers in Sacramento, CA · Professional Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 21, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.