Daniel Rodabaugh, CI29970620

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CI29970620 Issued in CA

Practice address

5607 Mount Murphy Road
Garden Valley,, CA 95633

Phone

(408) 482-9490

NPI assigned

Jun 16, 2016

Reactivated

Jan 5, 2026

Last updated

Jan 5, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767571200000",
    "number": "1285084632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "838 BEACH CT.",
            "city": "LOTUS",
            "state": "CA",
            "postal_code": "95613",
            "telephone_number": "530-626-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5607 MOUNT MURPHY ROAD",
            "city": "GARDEN VALLEY,",
            "state": "CA",
            "postal_code": "95633",
            "telephone_number": "408-482-9490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "838 Beach Ct.",
            "address_purpose": "LOCATION",
            "city": "Lotus",
            "state": "CA",
            "postal_code": "95613",
            "country_code": "US",
            "telephone_number": "530-626-7252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODABAUGH",
        "first_name": "DANIEL",
        "credential": "CI29970620",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-16",
        "last_updated": "2026-01-05",
        "certification_date": "2024-08-09",
        "deactivation_date": "2025-03-12",
        "reactivation_date": "2026-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI29970620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Addiction (Substance Use Disorder) Counselor in Garden Valley, CA
• Providers in Garden Valley, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; 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.