Active NPI
Charlisha Sumler, RADT R1329651118
- Addiction (Substance Use Disorder) Counselor
- Seaside, CA
National Provider Identifier
1073084737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RADTR1329651118
- Practice address
- 1760 Fremont Blvd Ste E1
Seaside, CA 93955-3615 - Phone
- (831) 393-9316
- Fax
- (831) 899-6565
- NPI assigned
- Dec 6, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | RADTR1329651118 | CA | Primary |
Addresses
Primary practice location
1760 Fremont Blvd Ste E1
Seaside, CA 93955-3615
Mailing address
224 Cypress Ave Apt 6
Marina, CA 93933-3834
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| R1329651118 | Other | CA | CCAPP |
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 |
|---|---|---|---|
| RADTR1329651118 | 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": "1544054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1073084737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 CYPRESS AVE APT 6",
"city": "MARINA",
"state": "CA",
"postal_code": "939333834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1760 FREMONT BLVD STE E1",
"city": "SEASIDE",
"state": "CA",
"postal_code": "939553615",
"telephone_number": "831-393-9316",
"fax_number": "831-899-6565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMLER",
"first_name": "CHARLISHA",
"credential": "RADT R1329651118",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-06",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RADTR1329651118",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP",
"identifier": "R1329651118",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seaside, CA
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- Sun Street Centers
- Mary K Sweet, MD
- Jillian Talley, PHD
- Connie Taylor, R.D., C.D.E.
- The Village Project, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.