Susana Islas

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

14432 Issued in CA

Practice address

222 Keith St
Hanford, CA 93230-2910

Phone

(559) 583-7800

NPI assigned

Jan 15, 2020

Sex

Female

Sole proprietor

No

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

• Champions Recovery Alternative Programs, Inc.

  • Substance Abuse Rehabilitation Facility
  • Hanford, CA
  • NPI 1649547159
  NPD

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2024.

{
    "created_epoch": "1579046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1356981500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8543 S RENE LOPEZ ST",
            "city": "PARLIER",
            "state": "CA",
            "postal_code": "936482123",
            "telephone_number": "559-864-4517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 KEITH ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932302910",
            "telephone_number": "559-583-7800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISLAS",
        "first_name": "SUSANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-15",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "14432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harutyun Idjian
• Muhammad Ammar Iftikhar, DDS
• Esther Igboerika, PNP
• Inspiring Pathways, Inc.
• Jerry Isenber, PHARM D
• J&P Spine Center Inc
• Heather Belle Jablonski, RN
• Alexis Jackson
• Andrea Delois Jackson, FNP
• Joytonia Jackson, DOULA

• All providers in Hanford, CA
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.