Active NPI
Joan Rice Merrill
- Addiction (Substance Use Disorder) Counselor
- Anaheim, CA
National Provider Identifier
1194989939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- RI-C0605181128
- Practice address
- 707 N Anaheim Blvd
Anaheim, CA 92805-2652 - Phone
- (714) 776-7490
- Fax
- (714) 776-8650
- NPI assigned
- Jul 10, 2008
- 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 | RI-C0605181128 | CA | Primary |
Addresses
Primary practice location
707 N Anaheim Blvd
Anaheim, CA 92805-2652
Mailing address
707 N Anaheim Blvd
Anaheim, CA 92805-2652
Phone (714) 776-7490
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 |
|---|---|---|---|
| RI-C0605181128 | 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": "1215648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215648000000",
"number": "1194989939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "707 N ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052652",
"telephone_number": "714-776-7490",
"fax_number": "714-776-8650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "707 N ANAHEIM BLVD",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928052652",
"telephone_number": "714-776-7490",
"fax_number": "714-776-8650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "JOAN",
"middle_name": "RICE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-10",
"last_updated": "2008-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "RI-C0605181128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.