Active NPI
Hayden Conner Ashworth, RDAT-1
- Addiction (Substance Use Disorder) Counselor
- Pasadena, CA
National Provider Identifier
1679967228
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 600 Lincoln Ave Unit 93481
Pasadena, CA 91109-5760 - Phone
- (424) 258-5778
- NPI assigned
- Mar 21, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
600 Lincoln Ave Unit 93481
Pasadena, CA 91109-5760
Mailing address
P.O. Box 1679 Ms 3871
Sacramento, CA 95812
Phone (424) 258-5778
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Other | CA | CCAP |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465344000000",
"number": "1679967228",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 1679 MS 3871",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95812",
"telephone_number": "424-258-5778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 LINCOLN AVE UNIT 93481",
"city": "PASADENA",
"state": "CA",
"postal_code": "911095760",
"telephone_number": "424-258-5778"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHWORTH",
"first_name": "HAYDEN",
"middle_name": "CONNER",
"name_prefix": "Mr.",
"credential": "RDAT-1",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-21",
"last_updated": "2016-06-08",
"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": "CCAP",
"identifier": "PENDING",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 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.