Savannah Dimpna Short, APCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

APCC19941 Issued in CA

Practice address

628 Montezuma St
Rio Vista, CA 94571-1622

Phone

(707) 374-5243

NPI assigned

Apr 9, 2024

Last updated

Jul 17, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Earth Spirit Awakenings LLC

  dba Mesa Vista Wellness

  • Community/Behavioral Health Agency
  • Santa Fe, NM
  • NPI 1447490800
  NPD (past)

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1922851047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 ASPEN PL",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162036",
            "telephone_number": "916-591-4668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 MONTEZUMA ST",
            "city": "RIO VISTA",
            "state": "CA",
            "postal_code": "945711622",
            "telephone_number": "707-374-5243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "SAVANNAH",
        "middle_name": "DIMPNA",
        "credential": "APCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-09",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "APCC19941",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• River Delta Usd
• Teresa Delores Rucker, REGISTERED NURSE
• Arturo Hernandez Ruiz, RECOVERY WORKER
• Gwendolyn Delosie Sampson Brown, RN, DNP
• Emilia Seiferling, D.D.S.
• Sharon Skelton, MFT
• Deborah Small, M.S., P.P.S.C
• Briana Soladay
• Solano Regional Medical Group
• Vera Akemi Sunada, D.D.S.

• Professional Counselor in Rio Vista, CA
• Providers in Rio Vista, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.