AMELIA VONGPHAIROTH
NPI 1194593434
Counselor in San Andreas, CA

Active since December 15, 2023
891 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249(209) 754-6464 Get Directions Write a Review

NPPES record last updated: December 30, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 30, 2025, Jan 5, 2024, Dec 15, 2023 (3 updates tracked since 2023).

About Amelia Vongphairoth NPPES

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

AMELIA VONGPHAIROTH (NPI 1194593434) is an individual counselor in San Andreas, California, licensed in California (136249) and active in the NPI registry since December 2023.

NPPES Registry Identity

NPI1194593434
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameAMELIA VONGPHAIROTH
Location Address891 MOUNTAIN RANCH RDSan Andreas, CA 95249-9713
Mailing Address2239 Willow Creek RdSan Andreas, CA 95249-9789 · (209) 890-5567
Sole ProprietorYes
Enumeration DateDecember 15, 2023
Last NPPES UpdateDecember 30, 20253 updates tracked since enumeration
NPPES CertifiedDecember 30, 2025
NPI 1194593434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
License Licensed in CA · 136249
Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

891 MOUNTAIN RANCH RD, San Andreas, CA 95249

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.

Counselor (Mental Health)
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Case Manager/Care Coordinator
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Counselor (Addiction (Substance Use Disorder))
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Marriage & Family Therapist
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Case Manager/Care Coordinator
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Registered Nurse
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Marriage & Family Therapist
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Registered Nurse (Psychiatric/Mental Health, Adult)
891 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249

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 Amelia Vongphairoth's NPI number?

The NPI number for Amelia Vongphairoth is 1194593434. It was assigned to this individual provider in the NPPES registry on December 15, 2023.

Where is Amelia Vongphairoth located?

Amelia Vongphairoth practices at 891 Mountain Ranch Rd, San Andreas, CA 95249. The listed phone number is (209) 754-6464.

What is Amelia Vongphairoth's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Amelia Vongphairoth was last updated on December 30, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.