Keith Angelin

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LR02541116 Issued in CA

Legal business name

KEITH ANGELIN

Practice address

1510 S Coast Hwy
Oceanside, CA 92054-5355

Phone

(949) 939-9222

Fax

(866) 929-6316

NPI assigned

Apr 28, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Keith Angelin, LAADC

Title

Licensed Alcohol and Drug Counselor

Phone

(949) 939-9222

Specialties & licenses 1

Addresses

Other names 1

• Counseling, Intervention & Assessment Services Other name

Locations

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1366977217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1510 S COAST HWY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545355",
            "telephone_number": "949-939-9222",
            "fax_number": "866-929-6316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 S COAST HWY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920545355",
            "telephone_number": "949-939-9222",
            "fax_number": "866-929-6316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH ANGELIN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "ANGELIN",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "LICENSED ALCOHOL AND DRUG COUNSELOR",
        "authorized_official_telephone_number": "949-939-9222",
        "authorized_official_credential": "LAADC"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "LR02541116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Counseling, Intervention & Assessment Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Liza Kazimi
• Savely Kazmin, DPT
• Nicole Marie Keaton, LCSW
• Sophie A Kehl
• Naomi Tatyami Keiler
• Krista Kellenberger, OT
• Cyril F Kellett, MD
• Sean Kelley, MASTERS
• Matthew Thomas Kelly
• Monica A Kelly, LMFT

• Addiction (Substance Use Disorder) Counselor in Oceanside, CA
• Providers in Oceanside, CA by specialty
• 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 28, 2017; 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.