Active NPI
Rola Jreisat, CADC 11-CA
- Addiction (Substance Use Disorder) Counselor
- Orange, CA
National Provider Identifier
1043747421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AII063020321
- Practice address
- 265 S Anita Dr
Orange, CA 92868-3355 - Phone
- (562) 241-8669
- NPI assigned
- May 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | AII063020321 | CA | Primary |
Addresses
Primary practice location
265 S Anita Dr
Orange, CA 92868-3355
Mailing address
11563 Elkhurst St
Santa Fe Springs, CA 90670-3625
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 |
|---|---|---|---|
| AII063020321 | 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": "1494979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733356800000",
"number": "1043747421",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11563 ELKHURST ST",
"city": "SANTA FE SPRINGS",
"state": "CA",
"postal_code": "906703625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "265 S ANITA DR",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683355",
"telephone_number": "562-241-8669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JREISAT",
"first_name": "ROLA",
"name_prefix": "Ms.",
"credential": "CADC 11-CA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-17",
"last_updated": "2024-12-05",
"certification_date": "2024-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "AII063020321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.