Active NPI
Winfield Tuttle
- Addiction (Substance Use Disorder) Counselor
- Riverside, CA
National Provider Identifier
1154895795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 8567
- Practice address
- 6860 Brockton Ave Ste 9
Riverside, CA 92506-3816 - Phone
- (951) 224-9940
- NPI assigned
- Jan 16, 2019
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | 8567 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 8567 | CA | Primary |
Addresses
Primary practice location
6860 Brockton Ave Ste 9
Riverside, CA 92506-3816
Mailing address
6860 Brockton Ave Ste 9
Riverside, CA 92506-3816
Phone (951) 224-9940
Other practice location 1
10001 County Farm Rd
Riverside, CA 92503-3507
Phone (951) 358-4290
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8567 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1547596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737676800000",
"number": "1154895795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6860 BROCKTON AVE STE 9",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063816",
"telephone_number": "951-224-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6860 BROCKTON AVE STE 9",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925063816",
"telephone_number": "951-224-9940"
}
],
"practiceLocations": [
{
"address_1": "10001 County Farm Rd",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925033507",
"country_code": "US",
"telephone_number": "951-358-4290",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TUTTLE",
"first_name": "WINFIELD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-16",
"last_updated": "2025-01-24",
"certification_date": "2025-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "8567",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "8567",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.