Active NPI
David Horstman, CADC-CAS
- Addiction (Substance Use Disorder) Counselor
- Anderson, CA
National Provider Identifier
1720520596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- C03961116
- Practice address
- 2110 Ferry St
Anderson, CA 96007-3459 - Phone
- (530) 365-8523
- NPI assigned
- Nov 10, 2016
- Sex
- Male
- 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 | C03961116 | CA | Primary |
Addresses
Primary practice location
2110 Ferry St
Anderson, CA 96007-3459
Mailing address
22405 Adobe Rd
Red Bluff, CA 96080-9395
Phone (480) 370-1235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C039681116 | Other | CA | CCAPP CREDENTIAL # |
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 |
|---|---|---|---|
| C03961116 | 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": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1720520596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22405 ADOBE RD",
"city": "RED BLUFF",
"state": "CA",
"postal_code": "960809395",
"telephone_number": "480-370-1235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2110 FERRY ST",
"city": "ANDERSON",
"state": "CA",
"postal_code": "960073459",
"telephone_number": "530-365-8523"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORSTMAN",
"first_name": "DAVID",
"credential": "CADC-CAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "C03961116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CCAPP CREDENTIAL #",
"identifier": "C039681116",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.