Vanessa Solis Licensed Clinical Social Worker, PC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

VANESSA SOLIS LICENSED CLINICAL SOCIAL WORKER, PC

Doing business as

Empowered Mind Therapy Center

Practice address

1200 Mt Diablo Blvd Ste 203
Walnut Creek, CA 94596-4800

Phone

(925) 257-0205

NPI assigned

Mar 26, 2021

Organization subpart

No

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

Authorized official

Name

Vanessa SolisNPI 1740421643

Title

Founder

Phone

(805) 729-6929

Specialties & licenses 1

Addresses

Other names 1

• Empowered Mind Therapy Center Doing business as

Locations

Practitioners 2

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

• Vanessa Solis, LCSW

  • Clinical Social Worker
  • Walnut Creek, CA
  • NPI 1740421643
  NPD Authorized official
• Amanda Johnson, AMFT

  • Marriage & Family Therapist
  • Walnut Creek, CA
  • NPI 1447103247
  NPD (past)

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

{
    "created_epoch": "1616716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616716800000",
    "number": "1952988768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MT DIABLO BLVD STE 203",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964800",
            "telephone_number": "925-257-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 MT DIABLO BLVD STE 203",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964800",
            "telephone_number": "925-257-0205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANESSA SOLIS LICENSED CLINICAL SOCIAL WORKER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-26",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A",
        "authorized_official_last_name": "SOLIS",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "805-729-6929"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Empowered Mind Therapy Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Samantha Vanausdle
• Ashley Vanburgel
• Nyssa Deneb Vance
• Jane Vanderwerf, LCSW
• Barbara Jean Vandyne, M.A., CCC
• Poornima Vanguri, MD
• James L Vanhoose
• Stephanie Maria Vannicola Magsanay, RN, MSN, FNP
• Abigail Rae Vanskike
• John Henry Vanuden IV, M.D., PH.D.

• Community/Behavioral Health Agency in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.