Individual provider Active NPI

Christina Louise Stone-Weise, CATC II

  • Addiction (Substance Use Disorder) Counselor
  • Fresno, CA
National Provider Identifier
1700185659
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
123109 II Issued in CA
Practice address
1803 Broadway St
Fresno, CA 93721-1047
Phone
(559) 268-6475
Fax
(559) 268-6967
NPI assigned
Mar 17, 2011
Last updated
Feb 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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 123109 II CA Primary

Addresses

Primary practice location

1803 Broadway St
Fresno, CA 93721-1047

Mailing address

1803 Broadway St
Fresno, CA 93721-1047
Phone (559) 268-6475

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
123109 IICAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1300320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1700185659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 BROADWAY ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211047",
            "telephone_number": "559-268-6475",
            "fax_number": "559-268-6967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1803 BROADWAY ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211047",
            "telephone_number": "559-268-6475",
            "fax_number": "559-268-6967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE-WEISE",
        "first_name": "CHRISTINA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "CATC II",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-17",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "123109 II",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

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

Verify at the official NPI Registry.