INDIGENA INTEGRATIVE WELLNESS A LICENSED CLINICAL SOCIAL WORKER, PC
NPI 1679421747
Counselor - Mental Health in Auburn, CA

Q: What is Indigena Integrative Wellness A Licensed Clinical Social Worker, PC's specialty?

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

Active since March 17, 2026

12120 HERDAL DR, AUBURN, CA 95603(408) 460-5030 Get Directions Write a Review

NPPES record last updated: June 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Indigena Integrative Wellness A Licensed Clinical Social Worker, Pc NPPES

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

INDIGENA INTEGRATIVE WELLNESS A LICENSED CLINICAL SOCIAL WORKER, PC (NPI 1679421747), doing business as Indigena Integrative Wellness, is a healthcare organization registered as a mental health in Auburn, California and active in the NPI registry since March 2026. The organization maintains a secondary practice location in Granite Bay and lists Regina Faridnia, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679421747

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameINDIGENA INTEGRATIVE WELLNESS A LICENSED CLINICAL SOCIAL WORKER, PC

Location Address12120 HERDAL DRAuburn, CA 95603-5637

Mailing Address12120 Herdal DrAuburn, CA 95603-5637 · (408) 460-5030

Phone(408) 460-5030

Organization SubpartNo

Authorized OfficialRegina FaridniaCeo · (408) 460-5030

Enumeration DateMarch 17, 2026

Last NPPES UpdateJune 25, 2026

NPPES CertifiedJune 25, 2026

✔ NPI 1679421747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X

Also ListedHealth and Wellness CoachTaxonomy 171400000X

Also ListedHealth EducatorTaxonomy 174H00000X

Also ListedIntegrative MedicineTaxonomy 202D00000X

Also ListedPrevention ProfessionalTaxonomy 405300000X

12120 HERDAL DR, Auburn, CA 95603

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Other Names 2

Doing Business AsIndigena Integrative Wellness

Doing Business AsIndigena Wellness

Secondary Practice Location 1

Location 16049 Douglas Blvd Ste 20BGranite Bay, CA 95746-6275 · Phone (408) 460-5030

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Indigena Integrative Wellness A Licensed Clinical Social Worker, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Indigena Integrative Wellness A Licensed Clinical Social Worker, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Regina Faridnia, LCSW

Clinical Social Worker

NPI 1023318045

12120 HERDAL DR
Auburn, CA 95603

(408) 460-5030

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Indigena Integrative Wellness A Licensed Clinical Social Worker, PC's NPI number?

The NPI number for Indigena Integrative Wellness A Licensed Clinical Social Worker, PC is 1679421747. It was assigned to this organization in the NPPES registry on March 17, 2026. The provider is doing business as Indigena Integrative Wellness and Indigena Wellness.

Where is Indigena Integrative Wellness A Licensed Clinical Social Worker, PC located?

Indigena Integrative Wellness A Licensed Clinical Social Worker, PC is located at 12120 Herdal Dr, Auburn, CA 95603. The listed phone number is (408) 460-5030.

What is Indigena Integrative Wellness A Licensed Clinical Social Worker, PC's specialty?

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

Is Indigena Integrative Wellness A Licensed Clinical Social Worker, PC enrolled in Medicare?

Yes. Indigena Integrative Wellness A Licensed Clinical Social Worker, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Indigena Integrative Wellness A Licensed Clinical Social Worker, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Indigena Integrative Wellness A Licensed Clinical Social Worker, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Indigena Integrative Wellness A Licensed Clinical Social Worker, PC was last updated on June 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.