Active NPI
Toby Ann Reusze, LICENSED AOD COUNSEL
- Addiction (Substance Use Disorder) Counselor
- Yreka, CA
National Provider Identifier
1003038357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LCI04200315
- Practice address
- 2060 Campus Dr
Yreka, CA 96097-9538 - Phone
- (530) 841-4100
- Fax
- (530) 841-4881
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LCI04200315 | CA | Primary |
Addresses
Primary practice location
2060 Campus Dr
Yreka, CA 96097-9538
Mailing address
4138 Travis Heights Rd
Yreka, YREKA 96097
UM
Phone (530) 841-4789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCI04200315 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1003038357",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "4138 TRAVIS HEIGHTS RD",
"city": "YREKA",
"state": "YREKA",
"postal_code": "96097",
"telephone_number": "530-841-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2060 CAMPUS DR",
"city": "YREKA",
"state": "CA",
"postal_code": "960979538",
"telephone_number": "530-841-4100",
"fax_number": "530-841-4881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REUSZE",
"first_name": "TOBY",
"middle_name": "ANN",
"credential": "LICENSED AOD COUNSEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "LCI04200315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.