Active NPI
Chiah Jasmine Rogina, SUDCC
- Rehabilitation Practitioner
- Ukiah, CA
National Provider Identifier
1053899203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- License
- 8142
- Practice address
- 810 N State St
Ukiah, CA 95482-3410 - Phone
- (707) 462-7267
- NPI assigned
- Jul 31, 2018
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8142 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12790-R | CA | |
| Rehabilitation Practitioner | 225400000X | 8142 | CA | Primary |
Addresses
Primary practice location
810 N State St
Ukiah, CA 95482-3410
Mailing address
810 N State St
Ukiah, CA 95482-3410
Phone (707) 462-7267
Other practice location 1
631 S Orchard Ave
Ukiah, CA 95482-5011
Phone (707) 467-2010
Other names 1
- Chiah Jasmine Cassells
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 |
|---|---|---|---|
| 12790-R | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 8142 | 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": "1532995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681257600000",
"number": "1053899203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "810 N STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823410",
"telephone_number": "707-462-7267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 N STATE ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954823410",
"telephone_number": "707-462-7267"
}
],
"practiceLocations": [
{
"address_1": "631 S Orchard Ave",
"address_purpose": "LOCATION",
"city": "Ukiah",
"state": "CA",
"postal_code": "954825011",
"country_code": "US",
"telephone_number": "707-467-2010",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROGINA",
"first_name": "CHIAH",
"middle_name": "JASMINE",
"name_prefix": "Mrs.",
"credential": "SUDCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-07-31",
"last_updated": "2023-04-12",
"certification_date": "2023-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "8142",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "12790-R",
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": "8142",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHIAH",
"last_name": "CASSELLS",
"middle_name": "JASMINE",
"credential": "SUDCC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Ukiah, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.