Active NPI
Kasara Eileen Myrvold, RADT
- Addiction (Substance Use Disorder) Counselor
- San Jacinto, CA
National Provider Identifier
1487356713
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 23931 Warren Rd
San Jacinto, CA 92582-3795 - Phone
- (951) 663-5690
- NPI assigned
- Mar 20, 2023
- Last updated
- Apr 14, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | NU | Primary |
Addresses
Primary practice location
23931 Warren Rd
San Jacinto, CA 92582-3795
Mailing address
31477 Sunset Ave
Nuevo, CA 92567-8956
Phone (951) 663-5690
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681430400000",
"number": "1487356713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31477 SUNSET AVE",
"city": "NUEVO",
"state": "CA",
"postal_code": "925678956",
"telephone_number": "951-663-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23931 WARREN RD",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925823795",
"telephone_number": "951-663-5690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYRVOLD",
"first_name": "KASARA",
"middle_name": "EILEEN",
"credential": "RADT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-20",
"last_updated": "2023-04-14",
"certification_date": "2023-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jacinto, CA
- Mt. San Jacinto Community College District (Mt. San Jacinto College)
- Mariah Mu'Min
- Cesar Munoz
- Ashlee Murray
- Aubry Murray, LVN
- Nagasamudra S Ashok MD Inc (San Jacinto Family Urgent Care)
- Justin Namm, DDS
- Nancy R Patel DDS Inc.
- Natalie Macias-Torres LCSW Counseling and Consulting Prof Corp (Nuevo Beginning Counseling-DBA Pending)
- Adriana Nava Godoy, CHW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.