Active NPI
Michelle Cherie Emerson
- Addiction (Substance Use Disorder) Counselor
- Temecula, CA
National Provider Identifier
1184467052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1507080523
- Practice address
- 40925 County Center Dr
Temecula, CA 92591-6054 - Phone
- (951) 955-2105
- NPI assigned
- Jun 17, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | R10507080523 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1507080523 | CA | Primary |
Addresses
Primary practice location
40925 County Center Dr
Temecula, CA 92591-6054
Mailing address
43735 Calabro St
Temecula, CA 92592-4326
Phone (858) 349-8119
Other practice location 1
37235 Painted Pony Rd
Temecula, CA 92592-8221
Phone (951) 526-4582
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 |
|---|---|---|---|
| R1507080523 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| R10507080523 | CA | MD | Case Manager/Care Coordinator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1184467052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43735 CALABRO ST",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925924326",
"telephone_number": "858-349-8119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40925 COUNTY CENTER DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925916054",
"telephone_number": "951-955-2105"
}
],
"practiceLocations": [
{
"address_1": "37235 Painted Pony Rd",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "925928221",
"country_code": "US",
"telephone_number": "951-526-4582",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EMERSON",
"first_name": "MICHELLE",
"middle_name": "CHERIE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-17",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "CA",
"license": "R10507080523",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1507080523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.