Individual provider Active NPI

Notiosha Daddabbo, ADDICTIONS COUNSELOR

  • Addiction (Substance Use Disorder) Counselor
  • Tempe, AZ
National Provider Identifier
1699651323
Registry record updated Aug 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LSAT15186 Issued in AZ
Practice address
1400 S McClintock Dr Ste 3
Tempe, AZ 85281-6022
Phone
(602) 380-3692
NPI assigned
Aug 15, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Addiction (Substance Use Disorder) Counselor 101YA0400X LSAT15186 AZ Primary

Addresses

Primary practice location

1400 S McClintock Dr Ste 3
Tempe, AZ 85281-6022

Mailing address

418 N Hibbert Apt 123
Mesa, AZ 85201-5969
Phone (602) 380-3692

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
LSAT15186AZMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1755216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755216000000",
    "number": "1699651323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 N HIBBERT APT 123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852015969",
            "telephone_number": "602-380-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 S MCCLINTOCK DR STE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852816022",
            "telephone_number": "602-380-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DADDABBO",
        "first_name": "NOTIOSHA",
        "credential": "ADDICTIONS COUNSELOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-15",
        "last_updated": "2025-08-15",
        "certification_date": "2025-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "LSAT15186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.