Lauren Yvonne Halliwell, RADT R1580460924

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

R1580460924 Issued in CA

Practice address

9500 Malech Dr
San Jose, CA 95138-2004

Phone

(408) 281-6555

NPI assigned

Oct 24, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1729728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729728000000",
    "number": "1144042888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 MALECH DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382004",
            "telephone_number": "408-281-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 MALECH DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951382004",
            "telephone_number": "408-281-6555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLIWELL",
        "first_name": "LAUREN",
        "middle_name": "YVONNE",
        "credential": "RADT R1580460924",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1580460924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Lee Haller, DDS MS
• Kylene Ann Halliday, PSY. D.
• Sepideh Halliday, DMD
• Thomas Howland Halliday, DDS
• Carlayna Halligan
• Valerie Halls, MD
• Halo Ocean LLC
• Alexandra Halpin
• Julia Ham
• Jason H Hamada, D.D.S.

• Addiction (Substance Use Disorder) Counselor in San Jose, CA
• Providers in San Jose, 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 Oct 24, 2024; 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.