Active NPI
Adriana Ricoy, SUDCR19667
- Addiction (Substance Use Disorder) Counselor
- Covina, CA
National Provider Identifier
1477433464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- SUDRC19667
- Practice address
- 536 S 2ND Ave Ste D
Covina, CA 91723-3043 - Phone
- (626) 966-1577
- NPI assigned
- Sep 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | SUDRC19667 | CA | Primary |
Addresses
Primary practice location
536 S 2ND Ave Ste D
Covina, CA 91723-3043
Mailing address
4515 Eagle St
Los Angeles, CA 90022-1822
Phone (323) 712-4724
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 |
|---|---|---|---|
| SUDRC19667 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756857600000",
"number": "1477433464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4515 EAGLE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221822",
"telephone_number": "323-712-4724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "536 S 2ND AVE STE D",
"city": "COVINA",
"state": "CA",
"postal_code": "917233043",
"telephone_number": "626-966-1577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICOY",
"first_name": "ADRIANA",
"credential": "SUDCR19667",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-09-03",
"last_updated": "2025-09-03",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "SUDRC19667",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 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.