Individual provider Active NPI

Alicia Clabaugh, MA, BA.,RAS

  • Professional Counselor
  • Tehachapi, CA
National Provider Identifier
1649696436
Registry record updated May 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PCC12384 Issued in CA
Practice address
113 E F St
Tehachapi, CA 93561-1710
Phone
(661) 822-8223
NPI assigned
Mar 17, 2014
Last updated
May 11, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PCC12384 CA Primary

Addresses

Primary practice location

113 E F St
Tehachapi, CA 93561-1710

Mailing address

113 E F St
Tehachapi, CA 93561-1710
Phone (661) 822-8223

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
Credentials
Bachelor of Arts, Master of Arts

State licenses

LicenseStateTypeSpecialty
PCC12384CAMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1395014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462924800000",
    "number": "1649696436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 E F ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611710",
            "telephone_number": "661-822-8223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E F ST",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935611710",
            "telephone_number": "661-822-8223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLABAUGH",
        "first_name": "ALICIA",
        "name_prefix": "Ms.",
        "credential": "MA, BA.,RAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-17",
        "last_updated": "2016-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "PCC12384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tehachapi, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2016; 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.