Elk Grove Rehab & Counseling Center

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

ELK GROVE REHAB & COUNSELING CENTER

Practice address

7807 Laguna Blvd., Suite 480
Elk Grove, CA 95758

Phone

(916) 385-4438

Fax

(916) 897-4438

NPI assigned

Jul 24, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Kirk Jay Austin, PA

Title

Ceo/PA

Phone

(916) 385-4438

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirk Kay Austin, PA

  • Medical Physician Assistant
  • Elk Grove, CA
  • NPI 1962848374
  NPD

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532390400000",
    "number": "1447737333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7807 LAGUNA BLVD STE 480",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587953",
            "telephone_number": "916-385-4438",
            "fax_number": "916-897-2184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7807 LAGUNA BLVD., SUITE 480",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "95758",
            "telephone_number": "916-385-4438",
            "fax_number": "916-897-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE REHAB & COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-24",
        "last_updated": "2018-07-24",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CEO/PA",
        "authorized_official_telephone_number": "916-385-4438",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elk Grove Medical Supplies, Inc
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• Elk Grove Pharmacy Inc
• Elk Grove Unified School District
• Elk Grove Urgent Care Inc
• Elk Vista Residential Home LLC
• Eugena Courtney Elliott
• Olivia Ellis

• Addiction (Substance Use Disorder) Counselor in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Addiction (Substance Use Disorder) Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.