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MR. EDWARD MINDIOLA RADT 1
NPI 1124571179
Counselor - Addiction (Substance Use Disorder) in Auburn, CA

Active since July 26, 2016
12125 SHALE RIDGE LN, AUBURN, CA 95602(530) 885-1917 Get Directions Write a Review

NPPES record last updated: July 26, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Edward Mindiola Radt 1 NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. EDWARD MINDIOLA RADT 1 (NPI 1124571179) is an individual addiction (substance use disorder) provider in Auburn, California, licensed in California (R1224960316) and active in the NPI registry since July 2016.

NPPES Registry Identity

NPI1124571179
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. EDWARD MINDIOLACredential: RADT 1
Location Address12125 SHALE RIDGE LNAuburn, CA 95602-8880
Mailing Address12125 Shale Ridge LnAuburn, CA 95602-8880
Phone(530) 885-1917
Sole ProprietorNo
Enumeration DateJuly 26, 2016
✔ NPI 1124571179 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R1224960316
12125 SHALE RIDGE LN, Auburn, CA 95602
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BONNIE IRENE MILLER
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
Nevada County (530) 885-1917
MS. LEEANNA MARIE MILLER
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
Nevada County (530) 885-1917
JORDYN G BESELER RADT
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
Nevada County (530) 885-1917
MR. MITCHELL HAROLD MILLARD CADC II
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
Nevada County (530) 885-1917
BREANNA M BOWMAN RADT
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
Nevada County (530) 885-1961
BRANDY DEAL
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
Nevada County (530) 885-1917
SAMANTHA L ROBINSON RADT
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
Nevada County (530) 885-1917
JOSEPH ACUNA
Counselor (Addiction (Substance Use Disorder))
12125 SHALE RIDGE LN
AUBURN, CA 95602
Nevada County (530) 885-1917

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edward Mindiola's NPI number?

The NPI number for Edward Mindiola is 1124571179. It was assigned to this individual provider in the NPPES registry on July 26, 2016.

Where is Edward Mindiola located?

Edward Mindiola practices at 12125 Shale Ridge Ln, Auburn, CA 95602. The listed phone number is (530) 885-1917.

What is Edward Mindiola's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Edward Mindiola was last updated on July 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.