Individual provider Active NPI

Sandra Huskelhus

  • Addiction (Substance Use Disorder) Counselor
  • Banning, CA
National Provider Identifier
1457524977
Registry record updated Dec 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
2781 W Ramsey St Ste 3&4
Banning, CA 92220-3700
Phone
(951) 417-6612
NPI assigned
Apr 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

2781 W Ramsey St Ste 3&4
Banning, CA 92220-3700

Mailing address

9462 Van Nuys Blvd
Panorama City, CA 91402-1310
Phone (818) 891-8555

Other practice location 1

9462 Van Nuys Blvd
Panorama City, CA 91402-1310
Phone (818) 891-8555

Other practice location 2

1147 Hartnell Ave
Redding, CA 96002-2113
Phone (530) 222-7213

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aegis Treatment Centers, LLC CurrentSince Dec 15, 2024 Accepting new patients

Locations

2781 W Ramsey St
Ste 34
Banning, CA 92220
Phone (800) 821-0775

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1207267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733702400000",
    "number": "1457524977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9462 VAN NUYS BLVD",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021310",
            "telephone_number": "818-891-8555",
            "fax_number": "818-891-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2781 W RAMSEY ST STE 3&4",
            "city": "BANNING",
            "state": "CA",
            "postal_code": "922203700",
            "telephone_number": "951-417-6612"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9462 Van Nuys Blvd",
            "address_purpose": "LOCATION",
            "city": "Panorama City",
            "state": "CA",
            "postal_code": "914021310",
            "country_code": "US",
            "telephone_number": "818-891-8555",
            "fax_number": "818-891-8649",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1147 Hartnell Ave",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960022113",
            "country_code": "US",
            "telephone_number": "530-222-7213",
            "fax_number": "530-222-7268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUSKELHUS",
        "first_name": "SANDRA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-04",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Banning, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.