Active NPI
Abrescy Icasiano, RAS, FAC
- Addiction (Substance Use Disorder) Counselor
- Sacramento, CA
National Provider Identifier
1407393184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- I1401031635
- Practice address
- 1600 Sacramento Inn Way
Suite 205
Sacramento, CA 95815-3457 - Phone
- (916) 821-3107
- NPI assigned
- Jan 19, 2017
- 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 | I1401031635 | CA | Primary |
Addresses
Primary practice location
1600 Sacramento Inn Way
Suite 205
Sacramento, CA 95815-3457
Mailing address
1600 Sacramento Inn Way
Suite 205
Sacramento, CA 95815-3457
Phone (916) 821-3107
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 |
|---|---|---|---|
| I1401031635 | 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": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1407393184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SACRAMENTO INN WAY",
"address_2": "SUITE 205",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958153457",
"telephone_number": "916-821-3107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SACRAMENTO INN WAY",
"address_2": "SUITE 205",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958153457",
"telephone_number": "916-821-3107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ICASIANO",
"first_name": "ABRESCY",
"name_prefix": "Ms.",
"credential": "RAS, FAC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "I1401031635",
"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 Jan 19, 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.