Chris Whitehead

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1313650618 Issued in CA

Practice address

73 N 2ND Ave Ste B
Chula Vista, CA 91910-1124

Phone

(619) 426-4801

NPI assigned

Feb 26, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Metropolitan Area Advisory Committee on Anti-Poverty of San Diego County, Inc.

  • Substance Abuse Rehabilitation Facility
  • Chula Vista, CA
  • NPI 1801248554
  NPD (past)

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

{
    "created_epoch": "1551139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551139200000",
    "number": "1033676002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 SEA REEF PL",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921548431",
            "telephone_number": "619-546-5616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 N 2ND AVE STE B",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919101124",
            "telephone_number": "619-426-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "CHRIS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-26",
        "last_updated": "2019-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1313650618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel V White, MD
• Evan Carl White, M.D.
• Juana White
• Robin Lynn White, MA, CCC-SLP
• Vernon M White, M.D.
• Cotina Whitley
• Heather Whitley
• Jasmine Yvonne Whitman
• Jennifer Whitney
• Meghan Whitney, SLP

• Addiction (Substance Use Disorder) Counselor in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2019; 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.