Active NPI
Kerry Durkee, CADCII
- Addiction (Substance Use Disorder) Counselor
- Eureka, CA
National Provider Identifier
1417670183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- AII4051214
- Practice address
- 23 5TH St
Eureka, CA 95501-0333 - Phone
- (805) 702-5462
- NPI assigned
- Sep 19, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | AII4051214 | CA | Primary |
Addresses
Primary practice location
23 5TH St
Eureka, CA 95501-0333
Mailing address
PO Box 967
Garberville, CA 95542-0967
Phone (077) 601-2969
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 |
|---|---|---|---|
| AII4051214 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Redwood Recovery Center | Current | Accepting new patients |
Locations
4 7th St
#B
Eureka, CA 95501
Phone (707) 442-9381
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Redwood Recovery Center llc
- Recovery Care Clinic/Center
- Eureka, CA
- NPI 1003539776
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665532800000",
"number": "1417670183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 967",
"city": "GARBERVILLE",
"state": "CA",
"postal_code": "955420967",
"telephone_number": "077-601-2969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 5TH ST",
"city": "EUREKA",
"state": "CA",
"postal_code": "955010333",
"telephone_number": "805-702-5462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURKEE",
"first_name": "KERRY",
"credential": "CADCII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-19",
"last_updated": "2022-10-12",
"certification_date": "2022-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "AII4051214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eureka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.