Individual provider Active NPI

Verna Ervin, CATC

  • Addiction (Substance Use Disorder) Counselor
  • San Leandro, CA
National Provider Identifier
1982230934
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
480010BN Issued in CA
Practice address
545 Estudillo Ave
San Leandro, CA 94577-4611
Phone
(510) 510-8078
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Community Health Worker 172V00000X
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X 480010BN CA Primary

Addresses

Primary practice location

545 Estudillo Ave
San Leandro, CA 94577-4611

Mailing address

2506 Marina Blvd
San Leandro, CA 94577-4005
Phone (707) 384-4917

Other practice location 1

1601 2nd St Ste 104
San Rafael, CA 94901-2701
Phone (415) 456-6655

Other practice location 2

627 Grant St
Vallejo, CA 94590-7228
Phone (707) 553-1042

Other practice location 3

2035 Fairmont Dr
San Leandro, CA 94578-1088
Phone (866) 866-7496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
480010BNCAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Center Point PastSince Aug 1, 2020 Accepting new patients
House of Acts PastSince Mar 1, 2020 Accepting new patients
Horizon Services, Inc Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1982230934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2506 MARINA BLVD",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774005",
            "telephone_number": "707-384-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 ESTUDILLO AVE",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774611",
            "telephone_number": "510-510-8078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 2nd St Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Rafael",
            "state": "CA",
            "postal_code": "949012701",
            "country_code": "US",
            "telephone_number": "415-456-6655",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "627 Grant St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945907228",
            "country_code": "US",
            "telephone_number": "707-553-1042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2035 Fairmont Dr",
            "address_purpose": "LOCATION",
            "city": "San Leandro",
            "state": "CA",
            "postal_code": "945781088",
            "country_code": "US",
            "telephone_number": "866-866-7496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ERVIN",
        "first_name": "VERNA",
        "credential": "CATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "480010BN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.