Active NPI
Ashlee Gabrial Deherrera, CCAPP REG. INTERN
- Addiction (Substance Use Disorder) Counselor
- Hollister, CA
National Provider Identifier
1437640737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- TBA-0000
- Practice address
- 335 6TH St
Hollister, CA 95023-3834 - Phone
- (831) 265-7317
- NPI assigned
- May 22, 2018
- 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 | TBA-0000 | CA | Primary |
Addresses
Primary practice location
335 6TH St
Hollister, CA 95023-3834
Mailing address
335 6TH St
Hollister, CA 95023-3834
Phone (831) 265-7317
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TBA-0000 | Other | CA | CCAPP REG INTERN |
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 |
|---|---|---|---|
| TBA-0000 | 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": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1437640737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "335 6TH ST",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233834",
"telephone_number": "831-265-7317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 6TH ST",
"city": "HOLLISTER",
"state": "CA",
"postal_code": "950233834",
"telephone_number": "831-265-7317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEHERRERA",
"first_name": "ASHLEE",
"middle_name": "GABRIAL",
"credential": "CCAPP REG. INTERN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "TBA-0000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP REG INTERN",
"identifier": "TBA-0000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollister, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.