Active NPI
Faye George
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1194808584
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 4986
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 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 DirectoryNPI 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.