Organization Active NPI

Faye George

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1194808584
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
4986 Issued in CA
Legal business name
FAYE GEORGE
Practice address
4902 Kokomo Dr
Sacramento, CA 95835-1806
Phone
(916) 391-4192
Fax
(916) 391-4247
NPI assigned
Oct 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Faye Etta George
Title
Counselor LL
Phone
(916) 391-4192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 4986 CA Primary

Addresses

Primary practice location

4902 Kokomo Dr
Sacramento, CA 95835-1806

Mailing address

4902 Kokomo Dr
Sacramento, CA 95835-1806
Phone (916) 391-4192

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194808584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 KOKOMO DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351806",
            "telephone_number": "916-391-4192",
            "fax_number": "916-391-4247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 KOKOMO DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958351806",
            "telephone_number": "916-391-4192",
            "fax_number": "916-391-4247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAYE GEORGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "FAYE",
        "authorized_official_middle_name": "ETTA",
        "authorized_official_title_or_position": "COUNSELOR LL",
        "authorized_official_telephone_number": "916-391-4192",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "4986",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.