MRS. ANGELA GUNDOLFF (NPI# 1467656769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467656769 |
| Entity Type | Individual |
| Full Name | MRS. ANGELA GUNDOLFF |
| Credential | LMFT, CATC |
| Practice Address |
101 Cirby Hills Dr Roseville CA 95678-4360 |
| Mailing Address |
5512 Grouse Ct Loomis CA 95650-9278 |
| Practice Telephone | 9167878885 |
| Mailing Telephone | 9167929444 |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
RI-G0609211044 | CA | Behavioral Health & Social Service Providers |
| N | 106H00000X | Marriage & Family Therapist | LMFT51191 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5980 Webb Street, Loomis, CA 95650 | 9166520171 |
| Street Address |
101 CIRBY HILLS DR |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95678-4360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962493460 | Linda W Budd | Nurse Practitioner | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2005-11-02 |
| 1427665686 | James Burke | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-09-30 |
| 1730703083 | Catreena Ashlee Johnson | Counselor | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-06-02 |
| 1528682192 | Chandler Kay Freed | Counselor | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-05-29 |
| 1538781398 | Jessica Elizabeth Stump | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-05-14 |
| 1689206583 | Lauren Elisabeth Evans | Social Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-02-07 |
| 1679113609 | Ryan Mary Crawford | Social Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2020-01-07 |
| 1700423753 | Paulina Ratcliffe | Registered Nurse | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-12-09 |
| 1922644657 | Ariel Xzandra Pond | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-11-18 |
| 1508409327 | Harold Joseph Chastain | Community Health Worker | 101 Cirby Hills Dr, Roseville, CA 95678-4360 | 2019-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114533064 | Alexander V. Antipov, D.d.s., Inc. | Dentist | 911 Reserve Drive, Suite 150, Roseville, CA 95678 | 2020-09-16 |
| 1396378980 | David F Shirley M D P C | Family Medicine | 4001 Impala Circle, Roseville, CA 95678 | 2020-02-21 |
| 1083256051 | Rosemary Ellen Robben | Community Health Worker | Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 | 2019-10-11 |
| 1588217236 | Kaiser Foundation Health Plan Inc | Pharmacy | 1021 Riverside Ave, Roseville, CA 95678 | 2019-07-22 |
| 1174093793 | Neftali Hernandez | Behavior Technician | 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 | 2018-11-26 |
| 1467951798 | Amarantha Martinez | Behavior Technician | 1900 Quail Ridge Road, #99, Roseville, CA 95678 | 2018-02-01 |
| 1093231276 | Compassionate Home Health, Ltd | Home Health | 1100 Melody Lane, Suite 106, Roseville, CA 95678 | 2017-08-18 |
| 1629598891 | Jimena Andrade Martins | Behavior Technician | 602 Atkinson Street, Roseville, CA 95678 | 2017-06-20 |
| 1891221057 | Zride Inc | Taxi | 106 Church Street, Suite 2, Roseville, CA 95678 | 2017-05-10 |
| 1568997641 | Joline Trinh | Pharmacist | 1030 Pleasant Grove Boulevard, Roseville, CA 95678 | 2017-04-26 |
| Find all providers in zip 95678 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013575364 | William Henry Hoffman IIi | Counselor | 2467 Sheldon St, Roseville, MN 55113-3138 | 2019-06-02 |
| 1962987560 | Bradley Thomas Conley | Counselor | 2233 Hamline Ave N Ste 110, Roseville, MN 55113-5002 | 2018-09-28 |
| 1386156065 | Gina M Nunez | Counselor | 730 Sunrise Ave Ste 200-201, Roseville, CA 95661-4567 | 2017-11-02 |
| 1023540515 | Dawn New Awakening LLC | Counselor | 26316 Ronald St, Roseville, MI 48066-4458 | 2017-04-03 |
| 1962809699 | Michael Walsh Gannon | Counselor | 109 Cloud Touch Ct, Roseville, CA 95747-7116 | 2014-11-24 |
| 1700210218 | Ozlem Tekelioglu | Counselor | 1133 Coloma Way Suite C, Roseville, CA 95661 | 2013-09-03 |
| 1114369816 | Amanda Macmillan | Counselor | 101 Cirby Hills Drive, Roseville, CA 95678 | 2013-07-23 |
| 1316295082 | Pes-ebs.inc. | Counselor | 340 Lincoln St, Roseville, CA 95678-2230 | 2012-08-28 |
| 1871860890 | Raymond Richard Evans | Counselor | 2499 Rice Street, Roseville, MN 55113 | 2011-11-18 |
| 1023308079 | Jennica Rachel Jenkins | Counselor | 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661-7980 | 2011-04-12 |
| Find all providers in ROSEVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.