Active NPI
Aubrina Octavia Washington
- Mental Health Counselor
- El Dorado Hills, CA
National Provider Identifier
1720657505
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ASW102207
- Practice address
- 4805 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9651 - Phone
- (530) 644-2412
- NPI assigned
- Jun 24, 2021
- Last updated
- Jul 8, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 102207 | CA | |
| Mental Health Counselor | 101YM0800X | ASW102207 | CA | Primary |
| Social Worker | 104100000X | ASW102207 | CA | |
| Clinical Social Worker | 1041C0700X | ASW102207 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | ASW102207 | CA | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
4805 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9651
Mailing address
4805 Golden Foothill Pkwy
El Dorado Hills, CA 95762-9651
Phone (530) 644-2412
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
| License | State | Type | Specialty |
|---|---|---|---|
| 102207 | CA | MD | Mental Health Counselor |
| ASW102207 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624492800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1720657505",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4805 GOLDEN FOOTHILL PKWY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629651",
"telephone_number": "530-644-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4805 GOLDEN FOOTHILL PKWY",
"city": "EL DORADO HILLS",
"state": "CA",
"postal_code": "957629651",
"telephone_number": "530-644-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WASHINGTON",
"first_name": "AUBRINA",
"middle_name": "OCTAVIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-24",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "102207",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "ASW102207",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW102207",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW102207",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": "ASW102207",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Dorado Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.