Individual provider Active NPI

Tawny L Kuck, RASI

  • Addiction (Substance Use Disorder) Counselor
  • Sacramento, CA
National Provider Identifier
1326289588
Registry record updated Mar 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
K0508171433 Issued in CA
Practice address
1550 Juliesse Ave
Sacramento, CA 95815-1803
Phone
(916) 609-4811
Fax
(916) 921-6604
NPI assigned
Mar 18, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2009

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 K0508171433 CA Primary

Addresses

Primary practice location

1550 Juliesse Ave
Sacramento, CA 95815-1803

Mailing address

1550 Juliesse Ave
Sacramento, CA 95815-1803
Phone (916) 609-4811

Other identifiers 1

IdentifierTypeStateIssuer
RI-K0508171433OtherCAADMINISTRATIVE ASSISTANT/COUNSELOR

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
K0508171433CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1237334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237334400000",
    "number": "1326289588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 JULIESSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958151803",
            "telephone_number": "916-609-4811",
            "fax_number": "916-921-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 JULIESSE AVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958151803",
            "telephone_number": "916-609-4811",
            "fax_number": "916-921-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCK",
        "first_name": "TAWNY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "RASI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-18",
        "last_updated": "2009-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "K0508171433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTRATIVE ASSISTANT/COUNSELOR",
            "identifier": "RI-K0508171433",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; 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.