Active NPI
Lydia M Stoddard, RADT
- Addiction (Substance Use Disorder) Counselor
- Stockton, CA
National Provider Identifier
1346157807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1555590
- Practice address
- 634 W Harding Way
Stockton, CA 95204-5613 - Phone
- (209) 263-9483
- NPI assigned
- Aug 27, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1555590 | CA | Primary |
Addresses
Primary practice location
634 W Harding Way
Stockton, CA 95204-5613
Mailing address
634 W Harding Way
Stockton, CA 95204-5613
Phone (209) 263-9483
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1346157807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "634 W HARDING WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045613",
"telephone_number": "209-263-9483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "634 W HARDING WAY",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045613",
"telephone_number": "209-263-9483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STODDARD",
"first_name": "LYDIA",
"middle_name": "M",
"credential": "RADT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1555590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.