Suboxone Treatment and Counseling Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

SUBOXONE TREATMENT AND COUNSELING SERVICES LLC

Practice address

625 Steele Lane
Santa Rosa, CA 95403-3127

Phone

(707) 576-1919

Fax

(707) 577-1852

NPI assigned

Feb 27, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Lee R Tillman

Title

President

Phone

(707) 576-0818

Specialties & licenses 1

Addresses

Other names 1

• STACS Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anthony Garcia

  • Addiction (Substance Use Disorder) Counselor
  • Santa Rosa, CA
  • NPI 1205230992
  NPD (past)

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

{
    "created_epoch": "1393459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693353600000",
    "number": "1073938098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 STEELE LANE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033127",
            "telephone_number": "707-576-1919",
            "fax_number": "707-577-1852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 STEELE LANE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954033127",
            "telephone_number": "707-576-1919",
            "fax_number": "707-577-1852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBOXONE TREATMENT AND COUNSELING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-27",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A",
        "authorized_official_last_name": "TILLMAN",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-576-0818",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "STACS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "STACS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Matthew James Stuart
• Peter J. Stuart, M.D.
• Teresa Su
• Victoria Veronica Su
• Luis Enique Suarez, MFT
• Ksheeraja Subramanian
• Rachel Subramanian, MD
• Pia Suzan Succi
• David P Suchard III, M.D.
• Austin Sue, M.D.

• Case Management Agency in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.

Verify at the official NPI Registry.