Mayola Gabriel Wipf

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1576410824 Issued in CA

Practice address

336 Oxford St Ste 209
Chula Vista, CA 91911-3122

Phone

(619) 691-1662

NPI assigned

Sep 24, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1891302733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 OXFORD ST STE 209",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 OXFORD ST STE 209",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113122",
            "telephone_number": "619-691-1662"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18008 Sky Park Cir Ste 100",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926146434",
            "country_code": "US",
            "telephone_number": "949-474-1493",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WIPF",
        "first_name": "MAYOLA",
        "middle_name": "GABRIEL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-24",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1576410824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Bryan Wilson, M.D.
• Yadanar Win
• Kelly Windt
• Nicole Wintch
• Jennifer L Winters, AGACNP-BC
• Maria Elaine Wise
• Wishwell LLC
• Caroline Witherspoon
• Haley Withington
• Taryn Witkowski, LCSW

• Addiction (Substance Use Disorder) Counselor in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.