Individual provider Active NPI

Christian E Couto, RADT

  • Addiction (Substance Use Disorder) Counselor
  • Auburn, CA
National Provider Identifier
1366063372
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
R1390440520 Issued in CA
Practice address
12183 Locksley LN Ste 101
Auburn, CA 95602-2050
Phone
(530) 885-1961
Fax
(530) 886-1304
NPI assigned
Apr 30, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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 R1390440520 CA Primary

Addresses

Primary practice location

12183 Locksley LN Ste 101
Auburn, CA 95602-2050

Mailing address

12183 Locksley LN Ste 101
Auburn, CA 95602-2050
Phone (530) 885-1961

Other practice location 1

730 Sunrise Avenue
Building 200, Ste-201
Roseville, CA 95661-9566
Phone (916) 782-3737

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
R1390440520CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1366063372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12183 LOCKSLEY LN STE 101",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022050",
            "telephone_number": "530-885-1961",
            "fax_number": "530-886-1304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12183 LOCKSLEY LN STE 101",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956022050",
            "telephone_number": "530-885-1961",
            "fax_number": "530-886-1304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Sunrise Avenue",
            "address_2": "Building 200, Ste-201",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "CA",
            "postal_code": "956619566",
            "country_code": "US",
            "telephone_number": "916-782-3737",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUTO",
        "first_name": "CHRISTIAN",
        "middle_name": "E",
        "credential": "RADT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1390440520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.