Elizabeth Butler, RADT

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1367191019 Issued in CA

Practice address

1969 Grande Cir Apt 5
Fairfield, CA 94533-4212

Phone

(707) 720-6090

Fax

(707) 644-5501

NPI assigned

Sep 27, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Bi-Bett

  • Substance Abuse Rehabilitation Facility
  • Vallejo, CA
  • NPI 1114127388
  NPD (past)
• Shamia Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Vallejo, CA
  • NPI 1922420298
  NPD (past)

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

{
    "created_epoch": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1134890296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 OHIO ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905049",
            "telephone_number": "707-644-2577",
            "fax_number": "707-644-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1969 GRANDE CIR APT 5",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334212",
            "telephone_number": "707-720-6090",
            "fax_number": "707-644-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUTLER",
        "first_name": "ELIZABETH",
        "credential": "RADT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1367191019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naimah Bush
• Maria Cristina Bustamante
• John E. Busto, BA
• Lyndsey Butcher
• Judith Butiu
• Rodney Darrell Butterfield
• Halema Buzayan
• Martell Travone Byrd
• Teddrisa Byrd
• Michelle Cabesas, LVN

• Addiction (Substance Use Disorder) Counselor in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.