Individual provider Active NPI

Andrea Lee Aidells, LCSW & MFT

  • Marriage & Family Therapist
  • Oakland, CA
National Provider Identifier
1891842928
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC8026 Issued in CA
Practice address
5625 College Ave
Suite 210
Oakland, CA 94618-1585
Phone
(510) 653-1903
Fax
(510) 653-1903
NPI assigned
Jan 4, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCS5320 CA
Marriage & Family Therapist 106H00000X MFC8026 CA Primary

Addresses

Primary practice location

5625 College Ave
Suite 210
Oakland, CA 94618-1585

Mailing address

5625 College Ave
Suite 210
Oakland, CA 94618-1585
Phone (510) 653-1903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200508002881 CA Practitioner - Clinical Social Worker 5294037107 Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5655 College Ave
Oakland, CA 94618-1678
Phone (510) 653-1903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCS5320CAMDClinical Social Worker
MFC8026CAMDMarriage & Family Therapist
5320CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1891842928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE",
            "address_2": "SUITE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181585",
            "telephone_number": "510-653-1903",
            "fax_number": "510-653-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5625 COLLEGE AVE",
            "address_2": "SUITE 210",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946181585",
            "telephone_number": "510-653-1903",
            "fax_number": "510-653-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AIDELLS",
        "first_name": "ANDREA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "LCSW & MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS5320",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC8026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.