Active NPI
Locked in Cea Inc.
- Addiction (Substance Use Disorder) Counselor
- Riverside, CA
National Provider Identifier
1063101715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Legal business name
- LOCKED IN CEA INC.
- Practice address
- 4937 Sierra Vista Ave
Riverside, CA 92505 - Phone
- (951) 394-1656
- NPI assigned
- May 8, 2023
- Organization subpart
- Yes
- Parent organization
- LOCKED IN CEA INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Deanne M Knipschild, MA
- Title
- Ceo
- Phone
- (951) 394-1656
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Mental Health Counselor | 101YM0800X |
Addresses
Primary practice location
4937 Sierra Vista Ave
Riverside, CA 92505
Mailing address
P.O. Box 70665
Riverside, CA 92513
Phone (951) 394-1656
Other names 1
- Locked In CEA Inc.
National Provider Directory
National Provider Directory- Part of
- Locked in Cea Inc
Locations
4937 Sierra Vista Ave
Riverside, CA 92505
Phone (951) 394-1656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683504000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683504000000",
"number": "1063101715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 70665",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92513",
"telephone_number": "951-394-1656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4937 SIERRA VISTA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "92505",
"telephone_number": "951-394-1656"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOCKED IN CEA INC.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LOCKED IN CEA INC.",
"enumeration_date": "2023-05-08",
"last_updated": "2023-05-08",
"certification_date": "2023-05-07",
"status": "A",
"authorized_official_last_name": "KNIPSCHILD",
"authorized_official_first_name": "DEANNE",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "951-394-1656",
"authorized_official_name_prefix": "Miss",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Locked In CEA Inc.",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.