Active NPI
James Antenor Hayes, SUDRC II - #19141
- Addiction (Substance Use Disorder) Counselor
- San Rafael, CA
National Provider Identifier
1114838349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 19141
- Practice address
- 851 Irwin St Ste 302
San Rafael, CA 94901-3343 - Phone
- (415) 685-5783
- NPI assigned
- Sep 16, 2026
- Sex
- Male
- 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 | 19141 | CA | Primary |
Addresses
Primary practice location
851 Irwin St Ste 302
San Rafael, CA 94901-3343
Mailing address
851 Irwin St Ste 302
San Rafael, CA 94901-3343
Phone (415) 686-5783
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1114838349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "851 IRWIN ST STE 302",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013343",
"telephone_number": "415-686-5783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "851 IRWIN ST STE 302",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949013343",
"telephone_number": "415-685-5783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "JAMES",
"middle_name": "ANTENOR",
"credential": "SUDRC II - #19141",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-16",
"last_updated": "2026-09-16",
"certification_date": "2026-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "19141",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Rafael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.