Active NPI
Laci Prather, CADC-II
- Addiction (Substance Use Disorder) Counselor
- Modesto, CA
National Provider Identifier
1154963916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1405 11TH St
Modesto, CA 95354-0748 - Phone
- (209) 284-0970
- NPI assigned
- Oct 14, 2019
- Sex
- Female
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1405 11TH St
Modesto, CA 95354-0748
Mailing address
1030 California Ave
Modesto, CA 95351-2102
Phone (209) 735-1133
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Ehr | ||
| CONNECT URL | smartcare |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738627200000",
"number": "1154963916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1030 CALIFORNIA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953512102",
"telephone_number": "209-735-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1405 11TH ST",
"city": "MODESTO",
"state": "CA",
"postal_code": "953540748",
"telephone_number": "209-284-0970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRATHER",
"first_name": "LACI",
"credential": "CADC-II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-14",
"last_updated": "2025-02-04",
"certification_date": "2025-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Ehr",
"affiliation": "N",
"address_1": "1405 11th St",
"city": "Modesto",
"state": "CA",
"country_code": "US",
"postal_code": "953540748",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "smartcare",
"affiliation": "N",
"address_1": "416 Corson Ave",
"city": "Modesto",
"state": "CA",
"country_code": "US",
"postal_code": "953505408",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 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.