Active NPI
Elizabeth Diane Salles, CADC-II CA
- Addiction (Substance Use Disorder) Counselor
- Merced, CA
National Provider Identifier
1205984523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- A020560815
- Practice address
- 2840 W Sandy Mush Rd
Merced, CA 95341-8009 - Phone
- (209) 381-1430
- Fax
- (209) 725-3505
- NPI assigned
- Jan 5, 2007
- 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 | A020560815 | CA | Primary |
Addresses
Primary practice location
2840 W Sandy Mush Rd
Merced, CA 95341-8009
Mailing address
PO Box 2087
Merced, CA 95344-0087
Phone (209) 381-1430
Other practice location 1
3313 G St Ste B
Merced, CA 95340-0992
Phone (209) 381-6860 ext. 3615
Other names 1
- Mrs. Elizabeth Diane Salles
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 |
|---|---|---|---|
| A020560815 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Merced County Department of Mental Health Alcohol and Drug Services | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Merced, CA
- NPI 1700182920
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1205984523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2087",
"city": "MERCED",
"state": "CA",
"postal_code": "953440087",
"telephone_number": "209-381-1430",
"fax_number": "209-725-3505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2840 W SANDY MUSH RD",
"city": "MERCED",
"state": "CA",
"postal_code": "953418009",
"telephone_number": "209-381-1430",
"fax_number": "209-725-3505"
}
],
"practiceLocations": [
{
"address_1": "3313 G St Ste B",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953400992",
"country_code": "US",
"telephone_number": "209-381-6860 x3615",
"fax_number": "209-723-6220",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SALLES",
"first_name": "ELIZABETH",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "CADC-II CA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-05",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "A020560815",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "SALLES",
"middle_name": "DIANE",
"prefix": "MRS.",
"credential": "CAS II",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.