Individual provider Active NPI

Rosemarie Esposito-Pica, SUDCC

  • Addiction (Substance Use Disorder) Counselor
  • Fairfield, CA
National Provider Identifier
1477203156
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
SUDCC Issued in CA
Practice address
1095 E Tabor Ave Apt B
Fairfield, CA 94533-4190
Phone
(707) 718-4872
NPI assigned
Mar 25, 2022
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 18455 CA
Addiction (Substance Use Disorder) Counselor 101YA0400X
Case Manager/Care Coordinator 171M00000X
Case Manager/Care Coordinator 171M00000X CA
Addiction (Substance Use Disorder) Counselor 101YA0400X SUDCC CA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1095 E Tabor Ave Apt B
Fairfield, CA 94533-4190

Mailing address

355 Tuolumne St
Vallejo, CA 94590-5700
Phone (707) 553-5525

Other practice location 1

100 Yardarm Ct
Vallejo, CA 94591-7760
Phone (916) 719-4380

Other practice location 2

609 Jefferson St
Fairfield, CA 94533-6293
Phone (707) 399-9190

Other practice location 3

355 Tuolumne St
Vallejo, CA 94590-5700
Phone (707) 553-5525

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

LicenseStateTypeSpecialty
SUDCCCAMDAddiction (Substance Use Disorder) Counselor
18455CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1648166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1477203156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 TUOLUMNE ST",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945905700",
            "telephone_number": "707-553-5525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 E TABOR AVE APT B",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945334190",
            "telephone_number": "707-718-4872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Yardarm Ct",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945917760",
            "country_code": "US",
            "telephone_number": "916-719-4380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "609 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CA",
            "postal_code": "945336293",
            "country_code": "US",
            "telephone_number": "707-399-9190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "355 Tuolumne St",
            "address_purpose": "LOCATION",
            "city": "Vallejo",
            "state": "CA",
            "postal_code": "945905700",
            "country_code": "US",
            "telephone_number": "707-553-5525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ESPOSITO-PICA",
        "first_name": "ROSEMARIE",
        "credential": "SUDCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-25",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "18455",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "SUDCC",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; 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.