Active NPI
Dennis Mitchell Poupart, RADT
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1366953408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CI20871018
- Practice address
- 1820 J St
Sacramento, CA 95811-3010 - Phone
- (916) 313-8434
- NPI assigned
- Oct 17, 2017
- Sex
- Male
- 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 | CI20871018 | CA | Primary |
Addresses
Primary practice location
1820 J St
Sacramento, CA 95811-3010
Mailing address
1820 J St
Sacramento, CA 95811-3010
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
| License | State | Type | Specialty |
|---|---|---|---|
| CI20871018 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559001600000",
"number": "1366953408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1820 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958113010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1820 J ST",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958113010",
"telephone_number": "916-313-8434"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POUPART",
"first_name": "DENNIS",
"middle_name": "MITCHELL",
"credential": "RADT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-17",
"last_updated": "2019-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI20871018",
"primary": true
}
],
"identifiers": [],
"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 May 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.