Active NPI
Dolena S. Lirkova
- Addiction (Substance Use Disorder) Counselor
- Chula Vista, CA
National Provider Identifier
1386825925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 99999
- Practice address
- 1105 Broadway Mental Health Systems Inc.
Suite 207
Chula Vista, CA 91911 - Phone
- (619) 425-8349
- NPI assigned
- Nov 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 99999 | CA | Primary |
Addresses
Primary practice location
1105 Broadway Mental Health Systems Inc.
Suite 207
Chula Vista, CA 91911
Mailing address
1105 Broadway Mental Health Systems Inc.
Suite 207
Chula Vista, CA 91911
Phone (619) 425-8349
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 |
|---|---|---|---|
| 99999 | 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": "1196035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196035200000",
"number": "1386825925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1105 BROADWAY MENTAL HEALTH SYSTEMS INC.",
"address_2": "SUITE 207",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91911",
"telephone_number": "619-425-8349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1105 BROADWAY MENTAL HEALTH SYSTEMS INC.",
"address_2": "SUITE 207",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "91911",
"telephone_number": "619-425-8349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIRKOVA",
"first_name": "DOLENA",
"middle_name": "S.",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-26",
"last_updated": "2007-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "99999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.