Laura Casey Starbird, CADC-L CICA01610719

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CICA01610719 Issued in CA

Practice address

2970 Market St
San Diego, CA 92102-3296

Phone

(619) 236-9492

Fax

(619) 232-0855

NPI assigned

Dec 2, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• House of Metamorphosis, Inc.

  • Substance Abuse Rehabilitation Facility
  • San Diego, CA
  • NPI 1114049186
  NPD (past)

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1457894834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4187 ETA ST APT 6",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921134349",
            "telephone_number": "619-340-6126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 MARKET ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921023296",
            "telephone_number": "619-236-9492",
            "fax_number": "619-232-0855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARBIRD",
        "first_name": "LAURA",
        "middle_name": "CASEY",
        "name_prefix": "Ms.",
        "credential": "CADC-L CICA01610719",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CICA01610719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831235837",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CICA01610719",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jean Kay Stapp, PHD
• Star Home Health and Hospice LLC
• Star Hospice LLC
• Shannon Marie Staral
• Leonard Starbeck, RN
• Staride Inc
• Madeleine Starin, PSY.D.
• Alicia Marie Stark, ATC
• Alison Leigh Stark
• Angela Renee Stark

• Addiction (Substance Use Disorder) Counselor in San Diego, CA
• Providers in San Diego, 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 Nov 22, 2023; 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.