Active NPI
Elisa M Leigan, R.A.S.
- Addiction (Substance Use Disorder) Counselor
- Atascadero, CA
National Provider Identifier
1689859712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- L0412130858
- Practice address
- 3556 El Camino Real
Atascadero, CA 93422-2532 - Phone
- (805) 461-6135
- Fax
- (805) 461-6114
- NPI assigned
- Jan 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | L0412130858 | CA | Primary |
Addresses
Primary practice location
3556 El Camino Real
Atascadero, CA 93422-2532
Mailing address
3556 El Camino Real
Atascadero, CA 93422-2532
Phone (805) 461-6135
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 |
|---|---|---|---|
| L0412130858 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426118400000",
"number": "1689859712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3556 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934222532",
"telephone_number": "805-461-6135",
"fax_number": "805-461-6114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3556 EL CAMINO REAL",
"city": "ATASCADERO",
"state": "CA",
"postal_code": "934222532",
"telephone_number": "805-461-6135",
"fax_number": "805-461-6114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEIGAN",
"first_name": "ELISA",
"middle_name": "M",
"credential": "R.A.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-08",
"last_updated": "2015-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "L0412130858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atascadero, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.