Gage Zachary Lindsay, CADC I

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CICA05100822 Issued in CA

Practice address

1003 S Beacon St
San Pedro, CA 90731-4324

Phone

(310) 514-4940

NPI assigned

Mar 2, 2020

Last updated

Dec 22, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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.

• The Beacon House Association of San Pedro

  • Substance Use Disorder Rehabilitation Clinic/Center
  • San Pedro, CA
  • NPI 1104573633
  NPD
• The Beacon House Association of San Pedro

  dba Beacon House

  • Substance Abuse Rehabilitation Facility
  • San Pedro, CA
  • NPI 1386197267
  NPD (past)

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1578197216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 328",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907330328",
            "telephone_number": "310-514-4940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 S BEACON ST",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907314324",
            "telephone_number": "310-514-4940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDSAY",
        "first_name": "GAGE",
        "middle_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "CADC I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-02",
        "last_updated": "2022-12-22",
        "certification_date": "2022-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "R1366931019",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CICA05100822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jillian Lim, D.M.D., M.S.
• Julie Chow Lin, M.D.
• Roberto Lind Jr.
• Lindholm Therapy Services Inc
• Linda Ann Lindholm, RPT
• Nicol Lippman, M.D.
• Lisa Humphreys MD MPH, Physician, Inc
• Erin Marie Lisko, PA-C
• Little Company of Mary - San Pedro (Little Company of Mary Pavilion San - Pedro)
• Little Sisters of the Poor

• Addiction (Substance Use Disorder) Counselor in San Pedro, CA
• Providers in San Pedro, 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 Dec 22, 2022; 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.