Active NPI
Donna Ammon, RADT-1
- Counselor
- Sacramento, CA
National Provider Identifier
1629520044
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 650 Howe Ave # 400B
Sacramento, CA 95825-4731 - Phone
- (916) 993-4131
- Fax
- (916) 993-4886
- NPI assigned
- Nov 2, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1233011016 | CA | |
| Counselor | 101Y00000X | CA | Primary |
Addresses
Primary practice location
650 Howe Ave # 400B
Sacramento, CA 95825-4731
Mailing address
310 Harris Ave
Sacramento, CA 95838-3249
Phone (916) 649-6793
Other practice location 1
310 Harris Ave
Sacramento, CA 95838-3249
Phone (916) 649-6793 ext. 3302
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629520044 | Medicaid | CA |
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 |
|---|---|---|---|
| R1233011016 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TLCS, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Sacramento, CA
- NPI 1174015317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1629520044",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 HARRIS AVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958383249",
"telephone_number": "916-649-6793",
"fax_number": "916-929-7411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "650 HOWE AVE # 400B",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958254731",
"telephone_number": "916-993-4131",
"fax_number": "916-993-4886"
}
],
"practiceLocations": [
{
"address_1": "310 Harris Ave",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958383249",
"country_code": "US",
"telephone_number": "916-649-6793 x3302",
"fax_number": "916-929-7411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMMON",
"first_name": "DONNA",
"credential": "RADT-1",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-02",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "R1233011016",
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629520044",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.