Active NPI
Corinne Lee Fredette, CADC-1
- Addiction (Substance Use Disorder) Counselor
- Camarillo, CA
National Provider Identifier
1740019090
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CI20530918
- Practice address
- 291 Riverdale CT Apt 110
Camarillo, CA 93012-7773 - Phone
- (805) 914-3511
- NPI assigned
- Jul 26, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 | CI20530918 | CA | Primary |
Addresses
Primary practice location
291 Riverdale CT Apt 110
Camarillo, CA 93012-7773
Mailing address
291 Riverdale CT Apt 110
Camarillo, CA 93012-7773
Phone (805) 914-3511
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 |
|---|---|---|---|
| CI20530918 | 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": "1721952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1740019090",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "291 RIVERDALE CT APT 110",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930127773",
"telephone_number": "805-914-3511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "291 RIVERDALE CT APT 110",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930127773",
"telephone_number": "805-914-3511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREDETTE",
"first_name": "CORINNE",
"middle_name": "LEE",
"credential": "CADC-1",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-26",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "CI20530918",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Camarillo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.