Active NPI
Tonia Marie Holsten, CAS C052360518
- Addiction (Substance Use Disorder) Counselor
- Oakland, CA
National Provider Identifier
1417238379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C052360518
- Practice address
- 1124 International Blvd
Oakland, CA 94606-4331 - Phone
- (501) 533-0800
- Fax
- (510) 533-0300
- NPI assigned
- Sep 6, 2011
- Last updated
- Jan 31, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | H0908201631 | CA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C052360518 | CA | Primary |
Addresses
Primary practice location
1124 International Blvd
Oakland, CA 94606-4331
Mailing address
1124 International Blvd
Oakland, CA 94606-4331
Phone (501) 533-0800
Other names 1
- Ms. Tonia Marie Holsten (Jambois Remove)
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 |
|---|---|---|---|
| C052360518 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| H0908201631 | 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": "1315267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580428800000",
"number": "1417238379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946064331",
"telephone_number": "501-533-0800",
"fax_number": "510-533-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1124 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946064331",
"telephone_number": "501-533-0800",
"fax_number": "510-533-0300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLSTEN",
"first_name": "TONIA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "CAS C052360518",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-06",
"last_updated": "2020-01-31",
"certification_date": "2020-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "H0908201631",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C052360518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TONIA",
"last_name": "HOLSTEN (JAMBOIS REMOVE)",
"middle_name": "MARIE",
"prefix": "MS.",
"credential": "RAS H0908201631",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.