Individual provider Active NPI

Samuel S. Usher, LAADC CEAP

  • Addiction (Substance Use Disorder) Counselor
  • Van Nuys, CA
National Provider Identifier
1104244359
Registry record updated Apr 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LNR5800311 Issued in CA
Practice address
5724 Stansbury Ave
Van Nuys, CA 91401-2341
Phone
(818) 321-8637
Fax
(818) 988-4183
NPI assigned
Apr 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LNR5800311 CA Primary

Addresses

Primary practice location

5724 Stansbury Ave
Van Nuys, CA 91401-2341

Mailing address

5724 Stansbury Ave
Van Nuys, CA 91401
Phone (818) 321-8637

Other names 1

  • Mr. Sam Usher Other name

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

LicenseStateTypeSpecialty
LNR5800311CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1396569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396569600000",
    "number": "1104244359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5724 STANSBURY AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91401",
            "telephone_number": "818-321-8637",
            "fax_number": "818-988-4183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5724 STANSBURY AVE",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914012341",
            "telephone_number": "818-321-8637",
            "fax_number": "818-988-4183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "USHER",
        "first_name": "SAMUEL",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "LAADC CEAP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-04-04",
        "last_updated": "2014-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LNR5800311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "USHER",
            "prefix": "MR.",
            "credential": "LAADC CEAP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2014; 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.