Laura Alexander, AOD COUNSELOR

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

A0910241728 Issued in CA

Practice address

139 Ford St
Ukiah, CA 95482

Phone

(707) 462-1934

Fax

(707) 468-9860

NPI assigned

Dec 9, 2009

Last updated

Sep 11, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ford Street Project

  dba Ukiah Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Ukiah, CA
  • NPI 1073946547
  NPD (past)
• Ford Street Project

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Ukiah, CA
  • NPI 1487008421
  NPD (past)

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1528397221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 N ORCHARD AVE APT 46",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824050",
            "telephone_number": "707-463-3554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 FORD ST",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "95482",
            "telephone_number": "707-462-1934",
            "fax_number": "707-468-9860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 S Dora St",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954826340",
            "country_code": "US",
            "telephone_number": "707-472-2600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "LAURA",
        "credential": "AOD COUNSELOR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-09",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "A0910241728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CADTP",
            "identifier": "7061",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dana Alarian
• Judith C Albert
• Aldis Baltins (Mendocino Orthopedic Medical Clinic)
• Jill Ales
• Patricia Quinn Alessi, L. AC., M.S.
• Lee Alexander
• Loretta Alexander
• Rachael Alexander, LVN
• Lasara Firefox Allen, MSW
• Jorge Anibal Allende Jr., M.D.

• Addiction (Substance Use Disorder) Counselor in Ukiah, CA
• Providers in Ukiah, 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 Sep 11, 2018; 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.