Darrell T House, LADAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

0132471 Issued in NM

Practice address

500 N. Indiana Avenue
Winslow, AZ 86047-1269

Phone

(928) 289-4646

Fax

(928) 289-6225

NPI assigned

Jun 11, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276214400000",
    "number": "1396065488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N. INDIANA AVE.",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860471269",
            "telephone_number": "928-289-4646",
            "fax_number": "928-289-6225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N. INDIANA AVENUE",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860471269",
            "telephone_number": "928-289-4646",
            "fax_number": "928-289-6225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSE",
        "first_name": "DARRELL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "LADAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-11",
        "last_updated": "2010-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NM",
            "license": "0132471",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LADAC",
            "identifier": "0132471",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Rae Heinrich, M.D.
• Sophia Heitmiller
• High Desert Physical Therapy and Sports Rehabilitation, PLLC
• Margaret M Hopson, P.T., D.P.T., O.C.S
• Hospital Inpatient Services of Winslow LLC
• K.R.J. Transit, Incorparted
• Rosemary Kai II
• Ramanjeet Kanda
• Jennifer Susan Kast, P.T, DPT
• Valerie Kelley, RN

• Addiction (Substance Use Disorder) Counselor in Winslow, AZ
• Providers in Winslow, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2010; 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.