Individual provider Active NPI

Thomas Joseph Kuchinski, CADC-I / CI07740517

  • Addiction (Substance Use Disorder) Counselor
  • Temecula, CA
National Provider Identifier
1013445428
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
CI07740517 Issued in CA
Practice address
41002 County Center Dr Ste a-225
Temecula, CA 92591-6051
Phone
(951) 600-6025
NPI assigned
May 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X RII06011215 CA
Case Manager/Care Coordinator 171M00000X CI07740517 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X CI07740517 CA Primary

Addresses

Primary practice location

41002 County Center Dr Ste a-225
Temecula, CA 92591-6051

Mailing address

44854 Camino Alamosa
Temecula, CA 92592-1412
Phone (858) 232-0714

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

LicenseStateTypeSpecialty
CI07740517CAMDAddiction (Substance Use Disorder) Counselor
RII06011215CAMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712793600000",
    "number": "1013445428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44854 CAMINO ALAMOSA",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921412",
            "telephone_number": "858-232-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41002 COUNTY CENTER DR STE A-225",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925916051",
            "telephone_number": "951-600-6025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHINSKI",
        "first_name": "THOMAS",
        "middle_name": "JOSEPH",
        "credential": "CADC-I / CI07740517",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-30",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "RII06011215",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "CI07740517",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI07740517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.