Lady Advincula, ATR-BC, LPCC in San Ramon, CA

Lady Advincula, ATR-BC, LPCC is a medicare enrolled "Counselor - Professional" provider in San Ramon, California. Her current practice location is 11040 Bollinger Canyon Rd Ste E-439, San Ramon, California. You can reach out to her office (for appointments etc.) via phone at (925) 665-3668.

Lady Advincula is licensed to practice in California (license number 11808) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659833259.

Contact Information

	Lady Advincula, ATR-BC, LPCC
	11040 Bollinger Canyon Rd Ste E-439, San Ramon, CA 94582-4969
	(925) 665-3668
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Lady Advincula
Gender	Female
Speciality	Counselor - Professional
Location	11040 Bollinger Canyon Rd Ste E-439, San Ramon, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659833259
Provider Enumeration Date: 04/02/2019
Last Update Date: 08/01/2025

Medicare PECOS Information:

PECOS PAC ID: 6901342674
Enrollment ID: I20240718003107

Medical Identifiers

Medical identifiers for Lady Advincula such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659833259	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	11808 (California)	Primary
221700000X	Art Therapist	17-136 (California)	Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Lady Advincula allows following entities to bill medicare on her behalf.

Entity Name	Foresight Mental Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902390537 PECOS PAC ID: 6103176219 Enrollment ID: O20180912000079

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Lady Advincula is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Lady Advincula, ATR-BC, LPCC 11040 Bollinger Canyon Rd Ste E-439, San Ramon, CA 94582-4969 Ph: (925) 665-3668	Lady Advincula, ATR-BC, LPCC 11040 Bollinger Canyon Rd Ste E-439, San Ramon, CA 94582-4969 Ph: (925) 665-3668

Reviews and Comments

Counselor in San Ramon, CA

Patrick Haven Venetz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583 Phone: 925-820-1467
Julie Diekmann, APCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583 Phone: 925-820-1467
Sunny Zhang, A.B. Counselor Medicare: Not Enrolled in Medicare Practice Location: 429 Fuchsia Ln, San Ramon, CA 94582 Phone: 925-858-8865
Carol Ann Wood, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2723 Crow Canyon Rd, Suite 209-b, San Ramon, CA 94583 Phone: 925-785-8402 Fax: 925-830-9008
Alexis Lee Nelson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3180 Crow Canyon Pl Ste 140, San Ramon, CA 94583 Phone: 925-820-1467
Jennifer Renee Davis, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 2817 Crow Canyon Rd Ste 103, San Ramon, CA 94583 Phone: 925-298-7172 Fax: 925-208-1173
Jazmyne Jefferson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 21 Pamplona Ct, San Ramon, CA 94583 Phone: 925-330-1434

Lady Advincula, ATR-BC, LPCC - Medicare Counselor in San Ramon, CA