Individual provider Active NPI

Mari Ellen Scholvinck, NAADAC

  • Addiction (Substance Use Disorder) Counselor
  • Lakeport, CA
National Provider Identifier
1689822991
Registry record updated Aug 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
NAADAC Issued in CA
Practice address
991 Parallel Dr
Lakeport, CA 95453-5720
Phone
(707) 263-8162
Fax
(707) 263-1507
NPI assigned
Aug 29, 2008
Last updated
Aug 29, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2008

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 NAADAC CA Primary

Addresses

Primary practice location

991 Parallel Dr
Lakeport, CA 95453-5720

Mailing address

991 Parallel Dr
Lakeport, CA 95453-5720
Phone (707) 263-8162

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
NAADACCAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1219968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219968000000",
    "number": "1689822991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "991 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535720",
            "telephone_number": "707-263-8162",
            "fax_number": "707-263-1507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 PARALLEL DR",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535720",
            "telephone_number": "707-263-8162",
            "fax_number": "707-263-1507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHOLVINCK",
        "first_name": "MARI",
        "middle_name": "ELLEN",
        "credential": "NAADAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-29",
        "last_updated": "2008-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "NAADAC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeport, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.