Active NPI
Alison Nicole Prestridge, AMFT, APCC, CADCIII
- Marriage & Family Therapist
- Ventura, CA
National Provider Identifier
1447902358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 129654
- Practice address
- 4756 Sullivan St Apt 201
Ventura, CA 93003-8212 - Phone
- (805) 451-2275
- NPI assigned
- Jan 21, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | BIII00150720 | CA | |
| Professional Counselor | 101YP2500X | 10855 | CA | |
| Marriage & Family Therapist | 106H00000X | 129654 | CA | Primary |
Addresses
Primary practice location
4756 Sullivan St Apt 201
Ventura, CA 93003-8212
Mailing address
4756 Sullivan St Apt 201
Ventura, CA 93003-8212
Phone (805) 451-2275
Other practice location 1
496 Howard St
Ventura, CA 93003-4533
Phone (805) 643-1900
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 |
|---|---|---|---|
| BIII00150720 | CA | MD | Addiction (Substance Use Disorder) Counselor |
| 129654 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids to Kids | Past | Accepting new patients |
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Ventura, CA
- NPI 1558957878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642723200000",
"number": "1447902358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4756 SULLIVAN ST APT 201",
"city": "VENTURA",
"state": "CA",
"postal_code": "930038212",
"telephone_number": "805-451-2275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4756 SULLIVAN ST APT 201",
"city": "VENTURA",
"state": "CA",
"postal_code": "930038212",
"telephone_number": "805-451-2275"
}
],
"practiceLocations": [
{
"address_1": "496 Howard St",
"address_purpose": "LOCATION",
"city": "Ventura",
"state": "CA",
"postal_code": "930034533",
"country_code": "US",
"telephone_number": "805-643-1900",
"fax_number": "805-643-1901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PRESTRIDGE",
"first_name": "ALISON",
"middle_name": "NICOLE",
"credential": "AMFT, APCC, CADCIII",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-01-21",
"last_updated": "2022-01-21",
"certification_date": "2022-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "BIII00150720",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "CA",
"license": "10855",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "129654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ventura, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 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.