Individual provider Active NPI

Karen Jean St. Leger, CADC-CAS

  • Addiction (Substance Use Disorder) Counselor
  • Riverside, CA
National Provider Identifier
1245980358
Registry record updated Aug 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
C037650616 Issued in CA
Practice address
2452 Wilshire St
Riverside, CA 92501-2144
Phone
(714) 532-9295
Fax
(714) 532-9291
NPI assigned
Mar 24, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C037650616 CA Primary

Addresses

Primary practice location

2452 Wilshire St
Riverside, CA 92501-2144

Mailing address

2452 Wilshire St
Riverside, CA 92501-2144
Phone (714) 532-9295

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

LicenseStateTypeSpecialty
C037650616CAMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Town Corporation PastSince Jun 1, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1245980358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2452 WILSHIRE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012144",
            "telephone_number": "714-532-9295",
            "fax_number": "714-532-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2452 WILSHIRE ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925012144",
            "telephone_number": "714-532-9295",
            "fax_number": "714-532-9291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ST. LEGER",
        "first_name": "KAREN",
        "middle_name": "JEAN",
        "credential": "CADC-CAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "C037650616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.