Active NPI
Lori S. Hayes, CAS II
- Addiction (Substance Use Disorder) Counselor
- San Diego, CA
National Provider Identifier
1215147228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 01-023572
- Practice address
- 3340 Kemper St Ste 103
San Diego, CA 92110-4907 - Phone
- (619) 224-1673
- Fax
- (619) 224-2538
- NPI assigned
- May 22, 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 | 01-023572 | CA | Primary |
Addresses
Primary practice location
3340 Kemper St Ste 103
San Diego, CA 92110-4907
Mailing address
3340 Kemper St Ste 103
San Diego, CA 92110-4907
Phone (619) 224-1673
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01-023572 | Other | CA | CAS CERTIFICATION |
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 |
|---|---|---|---|
| 01-023572 | 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": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1314230400000",
"number": "1215147228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3340 KEMPER ST STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104907",
"telephone_number": "619-224-1673",
"fax_number": "619-224-2538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3340 KEMPER ST STE 103",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921104907",
"telephone_number": "619-224-1673",
"fax_number": "619-224-2538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYES",
"first_name": "LORI",
"middle_name": "S.",
"credential": "CAS II",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2011-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "01-023572",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAS CERTIFICATION",
"identifier": "01-023572",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.