Individual provider Active NPI

Abagail Rose Waight, MS

  • Addiction (Substance Use Disorder) Counselor
  • Tarzana, CA
National Provider Identifier
1598320103
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
18700 Oxnard St
Tarzana, CA 91356-1413
Phone
(818) 654-3950
NPI assigned
May 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

18700 Oxnard St
Tarzana, CA 91356-1413

Mailing address

6200 De Soto Ave Apt 35307
Woodland Hills, CA 91367-0204
Phone (215) 285-9998

Other identifiers 1

IdentifierTypeStateIssuer
MXD840427499OtherTXBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241024003770 CA Practitioner - Mental Health Counselor 2961935267 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Soultenders IncGroup PAC ID 6507170453, 113 clinicians

Practice addresses (Care Compare)

2999 Overland Ave
Suite 209
Los Angeles, CA 90064-4243
Phone (310) 957-5641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
14721CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Soultenders Psychological Services, Inc. CurrentSince Jul 1, 2026 Accepting new patients
Soultenders, Inc. CurrentSince Sep 15, 2024 Accepting new patients

Locations

41 E Foothill Blvd
Ste 102
Arcadia, CA 91006
Phone (626) 701-4249

2999 Overland Ave
Ste 209
Los Angeles, CA 90064
Phone (310) 893-6979

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557273600000",
    "number": "1598320103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6200 DE SOTO AVE APT 35307",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913670204",
            "telephone_number": "215-285-9998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 OXNARD ST",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913561413",
            "telephone_number": "818-654-3950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAIGHT",
        "first_name": "ABAGAIL",
        "middle_name": "ROSE",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "MXD840427499",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

Verify at the official NPI Registry.