Individual provider Active NPI

Jessica A Alderson, CADCII

  • Addiction (Substance Use Disorder) Counselor
  • Lincoln, CA
National Provider Identifier
1104440502
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A065610125 Issued in CA
Practice address
1530 3Rd St Ste 106
Lincoln, CA 95648-2500
Phone
(530) 434-8927
NPI assigned
Jun 1, 2020
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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 A065610125 CA Primary

Addresses

Primary practice location

1530 3Rd St Ste 106
Lincoln, CA 95648-2500

Mailing address

406 Sunrise Ave Ste 105
Roseville, CA 95661-4145
Phone (916) 209-3771

Other practice location 1

180 Sierra College Dr
Grass Valley, CA 95945-5768
Phone (916) 209-3771

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
A065610125CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Granite Wellness Centers Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1104440502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 SUNRISE AVE STE 105",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956614145",
            "telephone_number": "916-209-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 3RD ST STE 106",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956482500",
            "telephone_number": "530-434-8927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "180 Sierra College Dr",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959455768",
            "country_code": "US",
            "telephone_number": "916-209-3771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALDERSON",
        "first_name": "JESSICA",
        "middle_name": "A",
        "credential": "CADCII",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-01",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A065610125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.