Active NPI
Tanya Louise Etzel
- Addiction (Substance Use Disorder) Counselor
- Susanville, CA
National Provider Identifier
1104050525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1410 Chestnut St
Susanville, CA 96130-3719 - Phone
- (530) 251-8112
- Fax
- (530) 251-5884
- NPI assigned
- May 13, 2009
- Last updated
- May 13, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
1410 Chestnut St
Susanville, CA 96130-3719
Mailing address
1410 Chestnut St
Susanville, CA 96130-3719
Phone (530) 251-8112
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242172800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242172800000",
"number": "1104050525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 CHESTNUT ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303719",
"telephone_number": "530-251-8112",
"fax_number": "530-251-5884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1410 CHESTNUT ST",
"city": "SUSANVILLE",
"state": "CA",
"postal_code": "961303719",
"telephone_number": "530-251-8112",
"fax_number": "530-251-5884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ETZEL",
"first_name": "TANYA",
"middle_name": "LOUISE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-05-13",
"last_updated": "2009-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Susanville, CA
- Karen Embree-Smith
- Kenna English
- Environmental Alternatives (EA Family Services)
- Environmental Alternatives Susanville (EA Family Services)
- Alexis Erwin-Mecum, RN, ADN
- F Kuliyev PLLC LTD Fuad Kuliyev Sole MBR
- Istvan Felker, DDS
- Denzyl Francis Fernandes, R.PH
- Steven John Fish, D.D.S.
- Cheryl Anne Floyd
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.