NPIMap

Individual provider Active NPI

Rajni Raetaesha Hayes, CAADE

  • Addiction (Substance Use Disorder) Counselor
  • Concord, CA
National Provider Identifier
1265071708
Registry record updated Jan 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
13676-R Issued in CA
Practice address
1470 Civic CT # 100
Concord, CA 94520-5290
Phone
(925) 849-6173
Fax
(925) 849-6832
NPI assigned
Jan 1, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2020

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 13676-R CA Primary

Addresses

Primary practice location

1470 Civic CT # 100
Concord, CA 94520-5290

Mailing address

1470 Civic CT # 100
Concord, CA 94520-5290
Phone (925) 849-6173

Other names 1

  • Rajni Raetaesha Session Former name

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
13676-RCAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1577836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577836800000",
    "number": "1265071708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1470 CIVIC CT # 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205290",
            "telephone_number": "925-849-6173",
            "fax_number": "925-849-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1470 CIVIC CT # 100",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945205290",
            "telephone_number": "925-849-6173",
            "fax_number": "925-849-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "RAJNI",
        "middle_name": "RAETAESHA",
        "credential": "CAADE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-01",
        "last_updated": "2020-01-01",
        "certification_date": "2020-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "13676-R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAJNI",
            "last_name": "SESSION",
            "middle_name": "RAETAESHA",
            "credential": "CAADE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 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.

Verify at the official NPI Registry.