AMY COLVILLE
NPI 1154520237
Counselor - Mental Health in Santa Rosa, CA
About Amy Colville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY COLVILLE (NPI 1154520237) is an individual mental health provider in Santa Rosa, California and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Colville is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Amy Colville reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Rosa, CA 95403
- Reassigned Medicare billing, California enrollment
- 64 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Amy Colville's NPI number?
The NPI number for Amy Colville is 1154520237. It was assigned to this individual provider in the NPPES registry on July 17, 2007.
Where is Amy Colville located?
Amy Colville practices at 3333 Chanate Rd, Santa Rosa, CA 95404. The listed phone number is (707) 565-4781.
What is Amy Colville's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Amy Colville enrolled in Medicare?
Yes. Amy Colville is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Amy Colville's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Colville reassigns Medicare benefits to County Of Sonoma (Santa Rosa, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Colville's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Amy Colville was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Amy Colville · NPI 1154520237
Mental Health provider in Santa Rosa, California. Individual provider, active in the CMS NPPES registry since July 17, 2007.
## Identity
- **NPI:** 1154520237 (Entity type: Individual)
- **Enumerated:** July 17, 2007
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3333 CHANATE RD, Santa Rosa, CA 95404-1707
- **Phone:** (707) 565-4781
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** County Of Sonoma (NPI 1952515462, Santa Rosa, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 27, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1154520237) · Data from the CMS NPPES public registry.