Active NPI
Chelsi Cowdrey
- Addiction (Substance Use Disorder) Counselor
- Fullerton, CA
National Provider Identifier
1588339030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- R1446791021
- Practice address
- 771 W Orangethorpe Ave
Fullerton, CA 92832-2806 - Phone
- (714) 879-0921
- NPI assigned
- Aug 16, 2021
- 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 | R1446791021 | CA | Primary |
Addresses
Primary practice location
771 W Orangethorpe Ave
Fullerton, CA 92832-2806
Mailing address
915 W Orangethorpe Ave Apt 63
Fullerton, CA 92832-2855
Phone (323) 239-8522
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Andrew@woodglenrecovery.com | Direct |
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 |
|---|---|---|---|
| R1446791021 | 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": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1588339030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 W ORANGETHORPE AVE APT 63",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322855",
"telephone_number": "323-239-8522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "771 W ORANGETHORPE AVE",
"city": "FULLERTON",
"state": "CA",
"postal_code": "928322806",
"telephone_number": "714-879-0921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COWDREY",
"first_name": "CHELSI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-16",
"last_updated": "2021-10-13",
"certification_date": "2021-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1446791021",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Andrew@woodglenrecovery.com",
"affiliation": "N",
"endpointDescription": "Supervisor",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "771 W Orangethorpe Ave",
"city": "Fullerton",
"state": "CA",
"country_code": "US",
"postal_code": "928322806",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fullerton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.