1. Home
  2. Directory
  3. California
  4. San Carlos
  5. Counselor
  6. NPI Profile

ANGELINA KOESNODIHARDJO
NPI 1225322175
Counselor - Mental Health in San Carlos, CA

Active since June 07, 2011
957 INDUSTRIAL RD, SUITE B, SAN CARLOS, CA 94070(415) 941-1751(650) 620-9549 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angelina Koesnodihardjo NPPES

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

ANGELINA KOESNODIHARDJO (NPI 1225322175) is an individual mental health provider in San Carlos, California and active in the NPI registry since June 2011.

NPPES Registry Identity

NPI1225322175
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameANGELINA KOESNODIHARDJO
Location Address957 INDUSTRIAL RD, SUITE BSan Carlos, CA 94070-4151
Mailing AddressPo Box 70Redwood City, CA 94064-0070 · (650) 260-5041
Phone(415) 941-1751
Fax(650) 620-9549
Sole ProprietorNo
Enumeration DateJune 7, 2011
Last NPPES UpdateJuly 29, 2015
✔ NPI 1225322175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
957 INDUSTRIAL RD, San Carlos, CA 94070
Open in Google Maps ↗

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.

LEENA RICHMAN MSW, PPSC
Counselor (Mental Health)
957 INDUSTRIAL RD
SAN CARLOS, CA 94070
San Mateo County (650) 832-6900
MONIQUE YOUNG
Community Health Worker
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 571-4530
MS. MICHELE PELNAR MA
Marriage & Family Therapist
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 375-7621
ANA VASQUEZ MSW
Social Worker
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 318-0944
SETH J WRIGHT MA
Marriage & Family Therapist
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 730-7561
MR. MICHAEL CERVANTES SULLIVAN
Marriage & Family Therapist
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (415) 375-7585
DOUGLAS DEORSEY
Counselor
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (650) 832-6900
CAROLINA SHAHVERDIYEVA B.A., B.S.
Counselor (Mental Health)
957 INDUSTRIAL RD, SUITE B
SAN CARLOS, CA 94070
San Mateo County (650) 832-6791

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 Angelina Koesnodihardjo's NPI number?

The NPI number for Angelina Koesnodihardjo is 1225322175. It was assigned to this individual provider in the NPPES registry on June 7, 2011.

Where is Angelina Koesnodihardjo located?

Angelina Koesnodihardjo practices at 957 Industrial Rd Suite B, San Carlos, CA 94070. The listed phone number is (415) 941-1751.

What is Angelina Koesnodihardjo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Angelina Koesnodihardjo was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.