Chelise L Stroud, CADC, SUDCC II

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

AII050550923 Issued in CA

Practice address

1001 Potrero Ave
San Francisco, CA 94110-3518

Phone

(628) 206-3943

NPI assigned

Jun 8, 2016

Last updated

Mar 18, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Second Chance Hayward Recovery Center

  • Community/Behavioral Health Agency
  • Hayward, CA
  • NPI 1356543011
  NPD (past)

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710720000000",
    "number": "1306295522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 BUCKINGHAM RD APT 4",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940442715",
            "telephone_number": "259-227-8639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-3943"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Jackson St",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945441948",
            "country_code": "US",
            "telephone_number": "510-886-8696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Fillmore St",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941154110",
            "country_code": "US",
            "telephone_number": "925-922-7863",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STROUD",
        "first_name": "CHELISE",
        "middle_name": "L",
        "credential": "CADC, SUDCC II",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-08",
        "last_updated": "2024-03-18",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "AII050550923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Stromsted, PH.D., LMFT, LPPC
• Frank Vincent Strona Jr., PHDC
• Jennifer Strong, DPT
• Kimberly Michelle Strong, LCSW
• Nina Strongylou
• Sarah Stroud, MD
• Alexandra B. Strough, NP, MSN
• Jerome Henri Stroumza, DDS, MS, DSC
• Lauren Strouse
• Karley Michelle Strouss, LCSW

• Addiction (Substance Use Disorder) Counselor in San Francisco, CA
• Providers in San Francisco, 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 Mar 18, 2024; 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.