Individual provider Active NPI

Casey Alynn Rosenlieb, SA COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Los Osos, CA
National Provider Identifier
1689479099
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
B9708652 Issued in CA
Practice address
1361 16TH St
Los Osos, CA 93402-1423
Phone
(805) 234-8915
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 B9708652 CA Primary

Addresses

Primary practice location

1361 16TH St
Los Osos, CA 93402-1423

Mailing address

1361 16TH St
Los Osos, CA 93402-1423
Phone (805) 234-8915

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

LicenseStateTypeSpecialty
B9708652CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1689479099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 16TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021423",
            "telephone_number": "805-234-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 16TH ST",
            "city": "LOS OSOS",
            "state": "CA",
            "postal_code": "934021423",
            "telephone_number": "805-234-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENLIEB",
        "first_name": "CASEY",
        "middle_name": "ALYNN",
        "name_prefix": "Mrs.",
        "credential": "SA COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "B9708652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Osos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.