Indigena Integrative Wellness a Licensed Clinical Social Worker, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INDIGENA INTEGRATIVE WELLNESS A LICENSED CLINICAL SOCIAL WORKER, PC

Doing business as

Indigena Integrative Wellness
Indigena Wellness

Practice address

12120 Herdal Dr
Auburn, CA 95603-5637

Phone

(408) 460-5030

NPI assigned

Mar 17, 2026

Last updated

Jun 25, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Regina Faridnia, LCSW, PHD, IMDNPI 1023318045

Title

Ceo

Phone

(408) 460-5030

Specialties & licenses 8

Addresses

Other names 2

• Indigena Integrative Wellness Doing business as
• Indigena Wellness Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Regina Guthrie Faridnia, LCSW

  • Clinical Social Worker
  • Auburn, CA
  • NPI 1023318045
  Medicare reassignment NPD Authorized official
• Mackenzie Nichole Henderson, RT1447940626

  • Addiction (Substance Use Disorder) Counselor
  • Auburn, CA
  • NPI 1962338277
  NPD (past)

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

{
    "created_epoch": "1773705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782345600000",
    "number": "1679421747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12120 HERDAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035637",
            "telephone_number": "408-460-5030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12120 HERDAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956035637",
            "telephone_number": "408-460-5030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6049 Douglas Blvd Ste 20B",
            "address_purpose": "LOCATION",
            "city": "Granite Bay",
            "state": "CA",
            "postal_code": "957466275",
            "country_code": "US",
            "telephone_number": "408-460-5030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INDIGENA INTEGRATIVE WELLNESS A LICENSED CLINICAL SOCIAL WORKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-17",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A",
        "authorized_official_last_name": "FARIDNIA",
        "authorized_official_first_name": "REGINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "408-460-5030",
        "authorized_official_credential": "LCSW, PHD, IMD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Indigena Integrative Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Indigena Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Counselor in Auburn, CA
• Providers in Auburn, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.