NPIMap

Organization Active NPI

Provident Vision Network, Inc.

  • Mental Health Counselor
  • Antioch, CA
National Provider Identifier
1891621892
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
PROVIDENT VISION NETWORK, INC.
Practice address
5008 Hollow Ridge CT
Antioch, CA 94531-8074
Phone
(925) 525-0600
Fax
(925) 525-0600
NPI assigned
Jun 18, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Authorized official

Name
Rhonda Jones
Title
Chief Operating Officer
Phone
(925) 565-0600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

5008 Hollow Ridge CT
Antioch, CA 94531-8074

Mailing address

4464 Lone Tree Way Ste 604
Antioch, CA 94531-7413
Phone (925) 565-0600

Other names 1

  • Open Arms Safe Haven Trauma Recovery Centers Doing business as

National Provider Directory

National Provider Directory

Locations

4464 Lone Tree Way
Antioch, CA 94531

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1781740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781740800000",
    "number": "1891621892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4464 LONE TREE WAY STE 604",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945317413",
            "telephone_number": "925-565-0600",
            "fax_number": "925-565-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5008 HOLLOW RIDGE CT",
            "city": "ANTIOCH",
            "state": "CA",
            "postal_code": "945318074",
            "telephone_number": "925-525-0600",
            "fax_number": "925-525-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENT VISION NETWORK, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-18",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "925-565-0600"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Open Arms Safe Haven Trauma Recovery Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Antioch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2026; 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.