Lela Danielle Ford Hetzer

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

17873 Issued in CA

Practice address

590 Toyanza Dr
San Andreas, CA 95249-0000

Phone

(209) 754-6555

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lela Danielle Ford Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785283200000",
    "number": "1043959059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "891 MOUNTAIN RANCH RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499713",
            "telephone_number": "209-754-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "590 TOYANZA DR",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952490000",
            "telephone_number": "209-754-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HETZER",
        "first_name": "LELA",
        "middle_name": "DANIELLE FORD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2026-07-29",
        "certification_date": "2026-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "17873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LELA",
            "last_name": "FORD",
            "middle_name": "DANIELLE",
            "credential": "SUDCC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Harvey a. Gilbert, MD, Inc.
• Thomas William Haspel, MD
• Chase Hawkins
• Randy Helwig, R.D.
• Charlene Hernandez
• Antonia Whitney Hicks, RN
• Kay Lyn Holman, RN
• Jennifer Lynn Hooper, CADC II
• Kayronna Hoskins
• Rebekah Hoskins

• Addiction (Substance Use Disorder) Counselor in San Andreas, CA
• Providers in San Andreas, 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 Jul 29, 2026; 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.