Individual provider Active NPI

Anika Allen, M.A., R.A.S.

  • Addiction (Substance Use Disorder) Counselor
  • Rancho Cucamonga, CA
National Provider Identifier
1295945111
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
A0601250155 Issued in CA
Practice address
9375 Archibald Ave
Suite 204
Rancho Cucamonga, CA 91730-5729
Phone
(909) 989-9724
Fax
(909) 989-0249
NPI assigned
May 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 A0601250155 CA Primary

Addresses

Primary practice location

9375 Archibald Ave
Suite 204
Rancho Cucamonga, CA 91730-5729

Mailing address

9375 Archibald Ave
Suite 204
Rancho Cucamonga, CA 91730-5729
Phone (909) 989-9724

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
A0601250155CAMDAddiction (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": "1183852800000",
    "number": "1295945111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE",
            "address_2": "SUITE 204",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305729",
            "telephone_number": "909-989-9724",
            "fax_number": "909-989-0249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9375 ARCHIBALD AVE",
            "address_2": "SUITE 204",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917305729",
            "telephone_number": "909-989-9724",
            "fax_number": "909-989-0249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANIKA",
        "credential": "M.A., R.A.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A0601250155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.